2000, 07-31 Permit App: 00006592 Pool 1 , 1 PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
F SPOKANE,WA 99260
SPOK W COUKTY 509-477-3675
Project Description: ..vs�+i.nt�r /r�Gi4L-
TYPE OF APPLICATION
j Building Permit O Change in Use 0 Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant (New/Change) O Other
SPECIFIC SITE INFORMATION
Street Address: � s. oki
Assessor's Tax Parcel Number(s):
Legal Description:
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
Front: Rear:
School District: Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
ll Indicate who should be contacted regarding this project
Owner: Phone: 0 Applicant: Phone:
61/07, L. I/iArA.L. Fax: Fax:
Mailing Address: Mailing Address:
2s-P S. ..S7WA1
City,State,Zip City,State,Zip
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Contractor Phone i./1" - /f?s ❑Architect/Engineer Phone
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� / �GVGs Fax Fax
Mailing address Mailing address
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City,State Zip City,State Zip
WA State C ntractor license# Contact name:
m'/L, 2.o y#'o s
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2nd floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
I M /
paat-- This site plan is being subm\'' .\9, the purpose of
obtaining a building permit is " rue and correct
representation of the proposal.A own property
linestdimensions,curb lines.struc s and easements
have been identified.Also indicate \ wetlands,
E
! bodies of water,
s�s` tfier critical areas.
l -� -- - /S"' tc Signed: •-',
110 Date: ?V.:,1/40
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