1990, 04-24 Permit App: 90001659 Carport, Reroof Vi9
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APR-24'
—'90 12:55 ID:HEALTH SPG TEL MG:96232500 #488 P01 ,
_._,_ _.. APR-24— 90 12:40 ID:BLDG AND SAFETY—SPO TEL NO:50S-45 ,--1717,13 #582 P01 ''"'"', •......
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 00260
(509)456-3673
IoartllytnatIhave examined Oitapermit!applioation,state that theentOrmolion contained in it MI gubrri Med by me Or My aCient to cortipile amid perftit1appllcetoniatrue
1 and correct,and authorize Spokane County to proceed with proottssin' In addition, I have read and underitind the UNSPeCTION REQUIREMENTS/NOTICE
pravfsions included herein and agree toa comply with arame,A!t provisions laws and ordinances gaverninp Chlp type of work will be Complied with wheth9r epecifl.d
herein ornot.l ulltlarttend fh*t th6 isauanoe ai tnit<p+srntll/applloHion end any811t)!�"` 'r"'''^section ApprovaISi or C@rtiticatea of QCCupdaey lhali not be construed t0
iveauthoritytogsatt*OrCCnCeltheproviaion90fanyateweorlocallawregulatin9co,:, . 1..or ea a warranty ofoonlormanee,with the progie.iont01amstatiost4Cat
liwa regulating COnCIfuCCIOn.
;. SIGNATURE OF APPLICATION
OWNER OR AGENT _ _ DATE ,
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Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFfORMATION WORKSHEET
PARCEL NUMBER: *2-3 S S# 7 Q /
STREET ADDRESS: 5, 'Z C /J/h age-
CITY/STATE/ZIP: �jiJ70/�As� L/IM
SUBDIVISION: K /24 G I1
BLOCK: 2,- LOT: 41" OZONE: DISTRICT:
LOT AREA: F/A: WIDTH: E0 DEPTH: /89 R/W: S-0
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: /901/26-11 _CC(/9C,Z ' RARK 2Ci�hHONE: - 9X - .306 o
MAILING ADDRESS: rnt
CITY/STATE/ZIP:
CONTACT: �/ PHONE: -
SETBACKS: - FRONT: /lD LEFT: fe RIGHT: REAR: GI' iv
PERMIT USE: e/9/2-port
****************************************************************************
BUILDING/ INFORMATION
/
CONTRACTOR LICENSE NUMBER: 1� E r P/ 626-- / ( 2 1 PG
CONTRACTOR: k2e7 N E YZ 67/1"/L PHONE: - y 0 Z- 0 dc 4.
MAILING ADDRESS: 6: rZ d & co €92 r,7
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: /51 X Z'Z_ (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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