1987, 10-28 Permit App: 87003669 Residence ,--7-70.004.100**004000.111 q }
SPOKANE 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 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 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
PROJECT
_ .. i .. 87003669: .: DATE= , PAGE= 01
APPLICATION
:-.::::.::::;.::** -.:::::::;... '. _ ' "r•.I °-;...! ***************************4**
i , , 54 p,!. 4 ie , n 4 t n u 4 i , , !t -.. l.. i.).i. �.j(.+#::+#....#. ...I••) .. ..1
!. !..t... ..t..!....t!t a!,•!•L:-.::::;•:t-.k'l::u:-!(:::.:.........:.......t:•C•C !: I 11,I`•;
:.,...... STREET= 1520 RRUURE.' RD PARCELO= 06
ADDRESS= ''.:p I';I•i D AL.E WA 9903"
PERMIT USE= RELOCATED E):s #RR;#::::``:#:D"u::iNCE ON BASEMENT
i'iENT
"# i . . 002751 PLAT
Nf•-t1")#::.:::: VERA
BLOCK= 187 LOT= ZONE= AGRI DIET4=
AREA= 00000000 1 : t . # WIDTH= 1 :
: }# : - . : 84 R/W= /4.i'.\
0 OF I:f t...J_•l.:r,.N..•• 1 s#' DWELLINGS=.. .. 1
OWNER=
xJ• :. ^ ` 1 , RICHARD " PHONE= .i : 924 7049
STREET= 14626 I:_ 6TH f"I..,-E
ADDRESS= SPOKANE WA 99216
CONTACT NAME= OWNER P=HONE NUMBER= 509 924 7049
J: 1.1:#:#...:t..Ei•s(a SETBACKS : FRONT= ..,..: LEFT= 50 RIGHT= :::..,
...: ;... .l ' i „..i.� - .1:i-('il .i.i..-ii 1!if yt St �! i !;...
-}k 3�i-}i:3G dpi h:.)6•?t:•�::!f•ir..y,}.jr at•x.•j(••�,;,„,gi..jt..hi•}ti),,9k.p:.j f..�;..j,..j;.:,;. i�i:i::.u .1.#::.t�,I .#.f'}# i..#:i I t•1 f .1.(..i l`••! •!:-.':9:-.:•-it•�!:•::•!':�.:::::•::•A:••::•:i•i:-}4::q••)k•�';n:;n:•p:•.:*:q•
I''A!E::
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
BUILDING
SAFETY
_ r : . . PLAN REVIEW REQUIRED 871028
. 8 G G i
"1 S I 't *-P. rcrz
.. TY ENGINEER 'r•.I I::',,I COUNTY ROAD APPROACH 871028, t.•r G i"i
"7....t... 4 4....J.. ...... ... .�.... � ..Q�
---
ENVIRONMENTAL HEALTH H NiEtil OR ADDITIONAL WASTE I::. WIA..i ER 871028
rrl
7-A"77 ?44-eoff � ., %
0
:,i.a'.** i..:.}•.•i..,,.s{.:!(.:!i••)t;;li::ti•*a,;•)i••}i•tE;.p,*.ji.{,..j,..}f•p:F:•p.•p:* B t. .#.L D.#.N i r #''{::.E M.#.T •}f•*•P:***.jt..h:*),:**:":*•p:A*•}}:*•it..,,,.1,,.,{.:p..)l..ji..j,.*
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ,..i:.. t: ,. 4 .,. I`.:::: CHANGE USE=
DWELL UNITS= Ill" : '" ,. il : BLDG tf: STORIES=
BLDG jai :'•. :1) :::: ;t EQ {:: ; :::: 768
R i::.iN., PARKING= •4r i l••I 1•;1.:.L.. f..j P::.: SEWER=
7 2
OzD
*************************************************************************
* • INFORMATION WORKSHEET *
*************************************************************************
*
*
*
* PARCEL NUMBER: s'= 7"/`c`
i _ *
* STREET ADDRESS: ) 1 5 PO , . *
* CITY/STATE/ZIP: .� l
* SUBDIVISION: Vera-
*
*
* BLOCK: (Y7 LOT: ZONE: DISTRICT:
* *
• LOT AREA: F/A: WIDTH: 4 DEPTH: 61* 'ft
* # OF BUILDINGS: / # OF DWELLINGS: /
*
* OWNER: J—S,c.4t° "c /7, (,,,-/ry PHONE: JJY any 7 -/?
* MAILING ADDRESS: /V6 _.2t.".," ' 1 Ave *
*
* CITY/STATE/ZIP: jpe, 44«p
* CONTACT: >p,r,, PHONE: - -
*
* SETBACKS - FRONT: , +f' LEFT: ` RIGHT.y, / REAR:A "
* PERMIT USE: jAo C,br( j T 01
*************************************************************************
* -BUILDING INFORMATION *
*
*
*
* CONTRACTOR LICENSE NO. : *
*
*
* CONTRACTOR: PHONE: - - *
*
* MAILING ADDRESS: *
*
*
* ARCHITECT/ENGINEER: PHONE: - *
*
* MAILING ADDRESS: *
*
*
* NEW: REMODEL: ADDITION: CHANGE OF USE: *
*
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: *
* BUILDING DIMENSIONS: X ) SQ. FT_ '7
(WIDTH % DEPTH
60
*REQUIRED PARKING: # HANDICAP: SEWER:(Y/N): HYDRANT: *
*************************************************************************
*
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