1990, 04-02 Permit App: 90001229 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
• W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I 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 or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
PROjECT
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SITE STREET=
PERMIT USE=
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BLOCK=
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OF BLDGE=
OWNER=
E T RADDR1EET::-
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RESIDENCE
004369
i LOT=
DWELLINGS=
PLAT NAME= M T D:i: i...0HE
GREMNY INC
12212 E:: SIOUX r":i: i^:
,:sF(iK.Af'?[::. WA `Y)j.:::;:o
CONTACT '1Ai'4E:::::: FRANK COBB
BUILDING I.I...DTNt_Y r:.TBr1t'i;S • FRONT= ,:!:,
5TH
ADD
D
80
PHONE= 509 924 9406
:+l..i(OlhNl::' NUMBER= '::.,.,.,:.,
LEFT= 12 RIGHT= 14 REAR= 51
924 940A
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DEPARTMENT
'BUILDING
BUILDING
ENGINEER
REVIEW 1...( -JTE
PLAN REVIEW REQUIRED
EEIBAcK REVIEW : •, r
ED
PLAIN/DRAINAGE
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nVAL
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CONTRACTOR= x i E"`P
?Ti T 12212 F.iO ;(:E
rl5D".':TOVANF
WA
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NEW= :x
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ADD
1425
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CONTRA
STREET
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INC
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SEWER= Y
CHANGE USE=
14 TORTES=
HYDRANT=
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PHONE— 509 924 9406
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CONTRACTOR= (:JJ °:-: is REE` Y INC
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t? .1 ..'OK
r..i•'il' WA
STEVEPRP BY: , ,:•;
PHONE= 509 92 4t-1 +...
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Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: 3 /7L
CITY/STATE/ZIP: c --/i)��j' �(/-2./(/-2./ 6
SUBDIVISION: ✓� CGti� �7L
BLOCK: ( LOT: 7/ ZONE: DISTRICT:
LOT AREA0X/27/F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: ( # OF DWELLINGS: / WATER DISTRICT: 14/8'O��[_.
OWNER: l c7?c) vL- y J C— PHONE: sq
MAILING ADDRESS: ✓( / 2- 2/ 2—_
CITY/STATE/ZIP: � t�� 92� 6
CONTACT: �-q
1//:::;)1/1/ ,i2123 PHONE:
SETBACKS: - FRONT: 30 LEFT: / z -- RIGHT: 7' REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: c -D Ate/
CONTRACTOR:
MAILING ADDRESS:
PHONE: - �2� - ye7o
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: 1� REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X 148 114 (A)
(WIDTH X DEPTH) SQ. FT.: ;=;15-1 av-e
6,G/ so ed_
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Co/V-4902- 5 2'