1989, 03-31 Permit App: 89000670 MH SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
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
OWNER OR AGENT HL--�—� APPLICATIONATE 3 /3 / / .7 '
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FLAT4- 002044 PLAT
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OWNE
C. YARDLEY , LEEANN PHONE=
DEPARTMENT NAME ,
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NEW
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T '' 31/47
MODEL= LIBERTY
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INSP - ID
4
DATE 1.S2A19
?'991
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* * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for C/O processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
Temporary C/O requested (y/n) Certificate of Occupancy issued:
Received application: By:
Approval granted:
By:
Ninety days after CIO issuance:
Owner/contractor called regarding the return of plans: Date: III/
Plans returned: Received by:
No response from owner/contractor - plans destroyed:
Notes:
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INFORMATION WORKSHEET
PARCEL NUMBER: D 7`j5 l v ( d
STREET ADDRESS: 1 O'/e wily
CITY/STATE/ZIP:
SUBDIVISION: PLO-7- /9 i7 , iriclt '45Ta� 1,2,e/<.f-/ 774,A( 1)i r
BLOCK: / LOT: '( ZONE: DISTRICT: Gsr
LOT AREA: F/A: WIDTH: DEPTH: R/W: 6AD
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: -[�. C✓4 '/l `� c r �.0 PHONE: Se) —124- - 6 1
MAILING ADDRESS: / 7 `I 2--
CITY/STATE/ZIP:
CITY/STATE/ZIP: w �� �/ - , — j' 4
CONTACT: PHONE: — —
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PERMIT USE: j/At c/4 we c<; n c
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
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 (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:
.
•-M-•- APR-06-'09 14:15 ID:HEALTH SPO TEL N0:509-45E-4716 ##685 P01
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SPECIFICATIONS
OF SEWAGE SYSTEMt
UNEAL OR SQUARE FOOTAGE,_ 1
TRENCH WIDTH: a y '1
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„, r DEPTH FROM ORIGINAL GROUND SURFACE TO BOTfOM
OF SEWAGE SYSTEM ”
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