1990, 05-03 Permit App: 90001887 GarageSPOKANE COUNTY DEPA#TMtNT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3575
1 certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcancelthe provisions ofanyst te or local law regulain o struction,orasawarrantyofconformancewiththeprovisionsofanystateorlocal
laws regulating constructio
SIGNATURE OF APPLICATION
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Spokane"County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP: V& h a C f�,- j 2 gD/6�?
SUBDIVISION:
BLOCK:
LOT:
ZONE:
DISTRICT:
LOT AREA:
F/A:
WIDTH:
DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: PHONE:�-
MAILING ADDRESS:
CITY/STATE/ZIP:&rleemafr'el!> UM 9
CONTACT:
SETBACKS: - FRONT:.,tO LEFT:
PERMIT USE:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
PHONE: - -
RIGHT 4REAR:
BUILDING INFORMATION
NEW: REMODEL: ADDITION:
PHONE:
PHONE:
CHANGE OF USE:
DWELL UNITS:. OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X b'( (WIDTH X DEPTH) SQ. FT.:�
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: