1989, 05-15 Permit App: 89001296 Garage SPOKANE COUNTY DEI;ARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
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 HATE
:..: :: ......
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INFORMATION WORKSHEET
PARCEL NUMBER: ,q7.5-1q-IV o
STREET ADDRESS: L_ /2,141 -(»7ere
CITY/STATE/ZIP: \g�okQ fe.( -W 4 / �c)l2
SUBDIVISION: ¢ Gg/Zf/1ITy e/214 �.
BLOCK: ,5,.- LOT: / O ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: /4 , R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: dC�
OWNER: VIII g-01-6G- 1-'11-b_L- PHONE: 4"V ' - q - - /-5-61/
MAILING ADDRESS: C- /,
CITY/STATE/ZIP: O�7 /? Z ftc F9)-/�D
CONTACT: PHONE: % -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: C4C_rC2.G'j16,
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: 1 f O CGS// c -3ra5k u/ PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: / CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X `AY/ (WIDTH X DEPTH) SQ. FT. : 1V6
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:
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W YOU CANNOT INSTALL THIS SYSTEM ACCORDINGID
LOTHIS OF
APPROVED PLAN, YOU MUST CALL THE MACE /A7 (509) 456-6040 PRIOR TO INSTALLATION. C-C-7° -
SPECIFICATi/O�;. � F /TYPE OFF SEWAGE SYSTETJI:_____; _ i /
LINEAL OR SQUARE FOD
TRENCH NJIDTH:_ a
DEPTH FROMORIGINAL GROUND SURFAC TO O T G
OF SEWAGE SYSTEM,M1: �--'
/ JrOTHER: _
DATE: •�' �/
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SIGSlATURE:_ -