HomeMy WebLinkAbout1987, 11-05 Permit App: 87003799 Addition 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 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'-.l.!�!{::.{..: i NUMBER= ..! i }-:i i-.!:.: i ! F DATE= 11 /05/87 Pt"li::1.:.:::: "j
APPLICATION
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ADDRESS= 4?i::.i''.i'!j_! !LE WA 99
PERMIT USE= ADDITION TO F'•.'::.:.i I...!E.........
PLAT4= 002756 PLAT NAME= VERA
BLOCK= LOT= ZONE= AGRI DIST4=
t' OF ? _ . : DWELLINGS=OWNER= SMITH, LEE PHONE=
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ADDRESS== V..R ., :. 99037
CONTACT NAME::: CONTRACTOR PHONE NUMBER= ij 5979
BUILDING SETBACKS : •.`c:NT•... ..'l:... ... RIGHT= REAR=
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DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALE
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CONTRACTOR= PHONE=
NEW= REMODEL= ADDITION= CHANGE USE=
DWELL UNTTE= {..)l..1..1.. I``.. i...Al:::: BLDG f..t: I ... STORIES=
!•:E(.i PARKING= OHANli I C=:, .... HYDRANT=
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CONIRACIOR= PHONE=
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PRINTED BY : ,
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*****1*********'***********************************************************
* INFORMATION WORKSHEET *
**** *********************************************************************
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* - *
* R *
* PARCEL NUMBER: ' 55 Z-1-- - 0 C.e,-D *
* STREET ADDRESS: L /S70 ( v C C 07 1,(1 -tj *
* CITY/STATE/ZIP: 14iCdCz19 141/- *
* SUBDIVISION: *
* *
* BLOCK: LOT: ZONE: tVA-( DISTRICT: *
* *
* LOT AREA: F/A: WIDTH: DEPTH: R/W: *
* *
* # OF BUILDINGS: l # OF DWELLINGS: *
*
* OWNER: L C---& Sill ( rT-/ PHONE: - - *
* *
* MAILING ADDRESS: f/ ( ✓5 4'&tt C
* *
* CITY/STATE/ZIP: *
* *
* CONTACT: PHONE: - - *
* *
* SETBACKS - FRONT: LEFT: RIGHT: REAR: *
*
* PERMIT USE: P.OD i -I(O N Tc:, v2 CS 1 CD E(V C._G- *
* *
*************************************************************************
* BUILDING INFORMATION *
* *
* *
C or-
9- C l 6( Q' 0_
* CONTRACTOR LICENSE NO. : *
*
* CONTRACTOR: 6 u C /447v C o-it,5/Y(/C 47/1,7 PHONE: 5- - 3y- r 2q *
* MAILING ADDRESS: 3-2;)_ , Cc�''z 1 rLPSS i� *
*
* ARCHITECT/ENGINEER: PHONE: - - *
* *
* MAILING ADDRESS: *
* / *
* NEW: REMODEL: ADDITION: L. CHANGE OP USE: *
* *
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
*
* BUILDING DIMENSIONS: Io X (WIDTH X DEPTH) SQ. FT. *
*
*REQUIRED PARKING: I HANDICAP: SEWER: (Y/N) ; HYDRANT: *
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