1987, 06-01 Permit App: 87001567 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON ' -
SPOKANE, WASHINGTON 99260
• (509) 456-3675 - -
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct In
addition, I have read and understand the INSPECTION REOUIREMENTS/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 and any subsequent inspection
approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a
warranty of conformance with the provisions of any state or local laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PR'I:f.JI:::C:T .NI.Ji'iHEF ::::. P.71-)(-)1 r.:;6
,DATE= /01/07 IP'A(E:::: 01
.+4 * **fit dryp.iE.yF.ii..ya.y{..rt.:tp*ah * kit 7u dt **iHi lA l='L..:F IA TION 9P dh df: **+E* )
SITE STREET= 10712 E GE:RTRUDE:: DR
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE W/ GARAGE
PLATO= s:::= 0 0-_y662 PLAT NAME= VALLEY VISTA ES AT
ES
BLOCK= ;t LOT= 1 ;'Cii'dl::= SFR 1)1:t>'"i O = h
AREA 00000000 P:/A=: I:- WI:jij}J:. 160 Dt1-111::: 119 R/t.I_: =G)
I: OF I:1L..DC;S=:: 1 oElfi...L..I:NI..�i
OWNER= I -IA 1 DON, TOM - PHONE::::
S'TRE.:E_T:::: 10712 F_ GERTRUDE:: DR'
ADDRE=SS== SPOKANE WA 99206
PARCEL044:42..-90F33PT
CONTACT NAME= CONTRACTOR
•BUIL.)]:E.NG SETBACKS: FRONT= 60 LEFT=
PHONE. NUMBER== 509- 24-8108 0i8 -
RIGHT== 28 REAR= 28
.*.V..yt.**.a—ri.*.$*.y..g..y.3..p..yf.*.*.p..g.*.)Q..*.)1.*.*.*.)6.TM3{. REVIEW INFORMATION 3r.Aik.*x--Sin'3i.dt..ti'-)t3i..y{..u..u.)43t ttd4d@*•X-.yt..y{.n..h
DATE:
DEPARTMENT NAME REVIEW COMMENTS • IN/OUT :FN:1:7:EALiS
131.I:El_DI.NI, r- SAFETY PLAN
RECO REQUIRED 070601.
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.NEW COUNTY ROAD APPPOACEI
070601 GGtl
7
41,0
I:..NVIl ONi'1ENT AL I-IE.AL1 P4
NF IJ, OR ADDITIONAL 14
,i.,i.,i..yt.tt..** BUILDTNG PERMIT ){3F*.y{.)(..y.y{)t..)i..yt..X..y{..p..y{..p..p:X•.){...).3.y{.3{..tt..p..p...tt.
CONTRACTOR= LENHAFT GONSTRUCTTON
STREET= 1222.1A E 26TH AVE
. ADDRESS:::. SPOKANE WA -99216
NI::.W
DWELT. UNITS=
BLDG W '%t: D :=:
REW PARKING=
PHONE:_ '509 924 0108
' PE::MCiDE.I...:: ADDITION= • CHANGE IJSE:::::: 1
UCCIJP. I...D;::: 1?LDG HGT:::: STORIES=
50 SQ ET:_ 16 •
OHAND:CCAP::= 'SEWER= to HYDRANT=
PROCESSED 13'Y: MAECARDO. GIJ OLFI.N
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******************************************************************************
* INFORMATION WORKSHEET
******************************************************************************
PARCEL NUMBER:
01+9z — 10a3 (arr;,)
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
If
LOT
St,oLei►.s W431.; is >,
Vc If<y \/ S4$,_s
BLOCK: LOT: I ZONE:
AREA: F/A:
WIDTH: I(Od
3(4w
DISTRICT:
rtl
DEPTH: (I-1
R/W:
cb
OF BUILDINGS: / # OF DWELLINGS: 1 WATER DISTRICT:
OWNER: m yy1 Y F�7 n
PHONE:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: PHONE:
(00'i
SETBACKS: - FRONT: LEFT:(! RIGHT: 2S ' REAR: 2F c
PERMIT USE: j(D -E w) Gkr
*
*
******************************************************************************
BUILDING INFORMATION
* II
* CONTRACTOR LICENSE NUMBER: !-e kJ, c. C -C / 3 /
* CONTRACTOR: LenLart.
*
* MAILING ADDRESS: ) 2?25-
Z<o
PHONE:
So9
— 92-•-r — 8-'°S-
*
* ARCHITECT/ENGINEER:
*
* MAILING ADDRESS:
*
*
*
PHONE:
NEW: "( REMODEL:
* DWELL UNITS: OCCUPANT
*
* BUILDING DIMENSIONS: 3 Z
*
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: *
******************************************************************************
MF : i (o((&.> Geek = 43a'.4.5o
06 = 73(, k it. P
/An) 4 HE=2ei'n
ADDITION: CHANGE OF USE:
LOAD: BUILDING HGT:
STORIES: /
X SU (WIDTH X DEPTH) SQ. FT.: /G/C,
*
'.tom******4***-************4***X***************44444*4x4444******4*******44**xm=*
* NG!ItE F -CNE INFCRNATICN
* CONTR L IC# : _ #
* *
* CONTRACTOR:*
PHCNE:____s____-
* *
* MAILING ACCRESS:
*
* PREVICLS ADORFSS:
* *
* LOCATION: PARCEL NLNeEP.:4
* c
* STREET:
* i
* CITY/STATE/ZIP:_
* MAKE: NCDEI:
* SEPIALk: bIOTF:LENGTF:____
*
4****4444:4*4444444444444444**************4***********4********************t**
*
4
RELCCATICN INFCRPATICN
CONTR L ICH:
* CONTRACTOR: FF -CNE:____-_ _
*
* MAILING AJLREcS:
* PREV ICuS AGGRESS:
*
* LCCAT ICN:____ PARCEL NUMBER:
* STREET:
*
* CITY/STATE/ZIP:
*
*
4
4
****ass*4444444444x:4**4s*****************************4***********************
* SIGN INFCRNATICN 4
* CONTR LIC#:
*
* CONTRACTOR: FI -CNE:____-
*
* MAILING ADDRESS:
* *
*
SQUARE FOOTAGE:___ POLE FEIGHT:______
* *
* $
**s* ******* ** * *4**************************************************** **********
DEMCLITICN INFCRNATICt
CONTR LICH: {'
*
*
*
* CONTRACTOR:
*
* MAILING ADDRESS:
*
* BUILCING SCI,ARE FOCTACE:
*
* NUMBER CF BUILDINGS:
*
*
FNCNE: - - *
_ *
*
*
*
*
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