1987, 03-10 Permit App: 87000560 Pole Bldg 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 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.The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
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01
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SITE _Ts _ . 1722
7 _2 , UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
PERMIT USE= POLE BUILDING
' PLATt= 999999 PLAT NAME= RANGE
BLOCK= i....., ZONE= f..i G€'+:! ..•..:'• I .;,...
AREA= 01 .fji ?1 . 1 WIDTH= 32 DEPTH=
187 , i , ....
OWNER= i`t€•iMI::.,:HiAN, GE:,R!`I•ti•j- I::i'HO!I`NR::.:::: 509 926 _..,.._.
STREET= 1722 h' 41 i::.€''-.S i ! } •i
ADDRESS=`= SPOKAN :: ;,1Ji± 99206
20i:-
tii t :T NAME= _ _I^ PHONENUMBER=
509-928-2276
BUILDING SETFRONT= RIGHT=
REAR=
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DATE
DEPARTMENT NAME s - 1 . - COMMENTS IN/OUT INITIALS
--------
BUILDING
UI _tlNG SAFETY 'ii ; LREQUIRED 870310 Y M:
SASiC P A&)
InT COVERAGE 870310 GMW
2- 6/ Gx ,47k �/!7
;t:!+-lc It:9r d'::::k :?L 9i-Jr tq;t 9�i! i1 i!:}i}=i :}- ^u isii ' : PERMIT" � L E
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CONTRACTOR= :pFN; n STEEL t - RLD. YYi INC , - 'r = y 92t2275
DY:E}_.€... i..Id 1. i ,.. - I OCi:.UI" ., €_.t1:::: x. .._J_?I,,,' HG•3 :::: STORIES= I
BLDG i,4 '' D :::: 36 60 Q l !•== "I60
REQ
4 �E. t i ' :• .a '•,:::: 2 3 HYDRANT=rN
F;!:_t:? PARKING= •tr I•€€•1131.1�:(:..r•�1••.... SEWER= €;:
DESCRIPTION YR _ 1 TYPE
C . ?& FT VALUATION
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(THIS IS NOT A PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Ml I Project Number
Owner's Name AST , FIRST
I
____
Project Address(Street Name&Number) 1
--) _.. _./
.-
Zip
) . i ) i4k_ ./A0-3Applicant Address
QI2JOY
_
1 City State Zip Phone
I 4 t-ivt I
_ (-A-) CL- 9. F9- 06 (
Business Phone
)
Contractor/Agent Address
BRANSON STEEL BUILDINGS, INC.
City E. 11524 SPRAGMAVE. Zip Phone
SPOKANE WA 99206 ( )
Contact ()
License Number(Required) Business Phone
.5c7
4-i---- iiiild
L -0? ) , -44 4,
Archiir/Engin' r Address
\
City State Zip ' Phone
( )
Contact Business Phone
' ( )
Lender Address
City State Zip Phone
( )
Describe Work --, .
2 ' Res. ,-
Comm.
Stbdivision/Plat Name/Short Pla'i-5'Nuim/bief
Assessor Parcel Number 04. *3— Lot Block I Plat Number
it, -6653
I inent File Numbers Zone
ACai121
- Comp.Plan Census Tract
tber of Dwelling Units Number of Buildings Lot Size(Sq.Ft./Acre) Depth Frontage
I Si- 1 AC reF-
Front Setback I Left Setback Right Setback Rear Setback R/W Width
'Di hx:::. 35 5 ,
Additional Information Square Footage
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1 z
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2
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LA.
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5
co Number of Bedrooms
I i '
Ofding Technician
gilt° Date
0 3/4/8 7 Group
IMMINIEr Type
� r
DEPARTMENTAL REVIEW
Cond.
Approved Approval Hold
Environmental Health Application#
❑ W. 1101 College
Room 200
Planning/Zoning
❑ N.721 Jefferson
Engineers
❑ N.811 Jefferson
Utilities
❑ N.811 Jefferson
Plan Review/Fire Prevention
❑ N.811 Jefferson
Other(SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signature Date
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