HomeMy WebLinkAbout1987, 09-04 Permit App: 87002905 Addition SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99260
(509)456-3675
1 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
PROJECT NUMBER= 87002905 DATE= 09/04/87 PAGE= Oi
********************************* ‘ APPLICATION ********tt••*********•x******•****
SITE STREET= 42i i N VERCLER RD PARCEL..0= 03542-0406
ADDRESS= SPOKANE WA 9921 6
PERMIT USE= RESIDENCE ADDITION
PL_ATt=: 002503 PLAT NAME::: STEVICK ADI)
BLOCK= 4 LOT= 6 ZONE= AGRI DISTO= F
AREA= 00000000 F/A= F WIDTH= 80 DEPTH=:: 136 R/W::
0 OF BLDGS= 2 4 DWELLINGS::: 1
OWNER=: SMITH, HOMER A PHONE=
STREET::: 4211 N VERCLER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DEWEY HANSON PHONE NUMBER= 509•-•928--7456
BUILDING SETBACKS : FRONT- LEFT= RIGHT::: REAR=:
)***•tt***•ae** *****•x****** ***** RE:VIEW INFORMATION ************* *tt•x*x***• • **
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
BUIL..DING & SAFETY PLAN REVIEW REQUIRED q70904 7c-
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ENVIRONMENTAL_ HEALTH INCREASE IN LOT COVERAGE 870904 GGM
acxaex*• * ** •******* xx•*• *** **** BUILDING PERMIT *************'********x•*****
CONTRACTOR= HANSON CARLEN CONST CO PHONE:: 509 928 7406
STREET= 5309 N SULLIVAN RD
ADDRESS= SPOKANE WA 9921 6
NEW:: REMODEL= ADDITION= X CHANGE USE=
DWELL UNITS= 1 OCCUP. LD:-• BLDG HGT- STORIES:::
BLDG W X I) = 10 X 13 SG FT= 136
REQ PARKING== : HANDICAP= SEWER= N HYDRANT= N
*x**************ae***x******* PLUMBING PERMIT ***•x*•x**•u.••x**•x•u*******x*****•tt•*u
CONTRACTOR-- PHONE::::
STREET=
ADDRESS=
PROCESSED BY : MASCARI)O, GODOLFIN
**•b** :*****ae********•*********•x*•x THANK YOU ac***************••**3 *****•*******•af
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BUILDING PERMIT APPLICATION WORKSHEET
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PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name (last) (first) (m) I Department Use Only
Smith Homer A Re. Comm
2 Project Address(not Mailing Address)ar Road Name Space Zip
No. 4211 Vercler Rd. 99216
3 City/Community State Subdivision/Plat Name
Spokane Wa. Stev'ck Add.
4 Assessor Parcel No. Lot Block
03542-0406 6 4 * * * DEPARTMENT USE ONLY * * *
5 Sic Code Zone Act.# Zone / Project No.
6 Dwell# No.of Buildings i + Sq.Ft./Acre Depth Frontage
7 Set Back-Front K....1
)S-2 IF r Ce
Rear nsus Tract ' Module No. Initials
* 16 Architect Firm Name Street Address *
Same
Zip City State Phone
( )
Contact Person Phone If different than above
( )
Contractor Firm Name Street Address
Hanson-Carlen Const. Co. N. 5309 Sullivan Rd.
Zip City I State Phone
99216 Spokane Wa. ( ) 928-7456
Contact Person License No. Phone If different than above
Dewey Hanson HANSOCC-187-RL ( )
8 Owner/Agent(if different than#1 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan Check(Y/N) Other(YIN) SEPA Exempt(YIN) Date
15 Type Work ❑ Bldg ❑ MH ❑ New ❑ Replace ❑ Other
❑ Fire ❑ Demo Xj Add/Alter ❑ Move -
14 Describe Work
Add 10'-4" x 13'-2" addition to home. Bathroom
10 Applicant Name Street Address
Dewey Hanson N. 5309 Sullivan Rd.
11 Zip City State Phone
99216 Spokane Wa. ( ) 928-7456
* *
Lender Street Address
Zip City State Phone
( )
Contact Person Phone if different than above
( )
Additional Information
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