1989, 03-29 Permit App: 89000645 Garage r �
SPOKANE COUNTY DEPAR1MENT OF BUILDING AND SAFETY
W. 1303 BROIDWAY 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 APPLICATION
OWNER OR AGENT DATE
{..,i..s .....;..•..,. '_•EMY.;{;:•R" 89000645 DATE= 02 . ... , PAGE=t.aE= ..
1
APPLICATION
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S.l....... STREET= 10402 ::. SPRINGFIELDAVEPAR'—.—E3....,== 17544-0504
ADDRESS=
D:. ... .. ..,i•yliAA.EE::' WA 99206
PERMIT USE= GARAGE
PLATt= 000400 PLAT NAME= CLACK ' S ADD.,
BLOCK=s^-E!::: ::! LOT=:::: ZONE= icr:.::.
2320
rt 1:i::.t::.I 10402 E:_ SPRINGFIELD E' r'Ir E
ADDRESS=
DDREcr • - CKA : WA�E .... .. ...
CONTACT NAME= THSDA PHONE NUMBER= 509 924 2320
BUILDING SETBACKS : FRONT= LEFT= RIGHT= ..!.... REAR= ...
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,:._ _A R..#.M 'nvNAME R: eriV COMMENTS IN/OUT INITIALS
BUILDING ; SAFETY Pr REVIEW REQUIRED . ) . tn . » _
BUILDING SAFETY iETB ; K REVIEW : E» i ' : t 890329 _ ?
AD APPROACH 09032:: 7:0 H
COUNTY ENGINEER NEW l...:r;, t,; ; , '•,
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ENVIRONMENTAL HEALTH INCREASE
_ - y36 LOT COVERAGE
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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 APPLICATION
OWNER OR AGENT f7ATE
{"_ROJECT NUMBER 89000
.� ,:k:- :;o f::1.�__. _ .... 7._. .9 PAGE= .. _..
:•,c..
* n * G .ci i ! n1 ;. * ; BUILDING _E"s " " : h : r r ji. *:
r;*3 3***31:3***
NEW= X R E:MODEL= ADDITION= (si NGE OF USE
DWELL UNI_r•S_.. C:F•'• {:_ _ .;.•__ BLDG HGT= 1 2 STORIES:::
B :0 II k •-v Y .... 4 :34 Ei;; is ••:::: :j 9 P
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PRINT E:: BY STE.,/r.. 110, Y
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INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: , /C "/6 2
CITY/STATE/ZIP fict,hG `j
SUBDIVISION:
BLOCK: LOT: `^y/ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
J�,
OWNER= 111 PHONE: 5 1O r -c)2:7/ - 2- �j w C)
MAILING ADDRESS: )0(4 0
CITY/STATE/ZIP: , ( Q, ,F , CC
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
****: *************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: �:�uz'1,7 5�s 1"„✓l f 14. PHONE: .�; � - J -y -
MAILING ADDRESS: /r IC3 ale`2�: `i c 4. 1. ;
t -�
ARCHITECT/ENGINEER: 1,‹ 1_d PHONE:
MAILING ADDRESS: avvi S
NEW: ( REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: ) ? STORIES: /
BUILDING DIMENSIONS: �Zc X v _' (WIDTH X DEPTH) SQ. FT. (tiv
REQUIRED PARKING: I HANDICAP: SEWER (YIN) : HYDRANT:
P��7iSr'r1 1/PR
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