1987, 09-28 Permit App: 87003209 Relocate Residence - - ---- ----- - - ' '
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(509)456-3675
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/ certify that have examined this permit and state that the informationby my All provisions of laws and
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same.
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 onAGENT DATE
PROJECT NUMBER= 87003209 DATE= 09/28/87 PAGE= Oi
****** ************************** APPLICATION ****************** ***********
%ITE STREET= 3217 N WILBUR CT PARCELO= 04544-1107
ADDRE%%= %POKANE WA 99216
PERMIT USE= RELOCATED RE%IDENCE
PLAT4= 003397 PLAT NAME= PINES WE%T 1 %T ADD
BLOCK= i LOT= 7 ZONE= TER DI%T4= F
AREA= OOOOOOOO F/A= F WIDTH= iOO DEPTH= Iii R/W= 50
4 OF BLDG%= i 4 DWELLING%=
OWNER= GUTHRIE, F/^.L:'H LAWi PHONE= 509 926 1561
%TREET= 13423 E 32ND AVE
ADDRESS= %POKANE WA 99216
CONTACT NAME= PATTI BREITHAUPT PHONE NUMBER= 509-328-0111
BUILDING %ETBACK% : FRONT= 3O LEFT= iO RIGHT= REAR=
****************************** REVIEW INFORMATION **************************
DATE
DEPARTMENT NAME REVIEW COMMENT% IN/OUT INITIAL%
--------------- --------------- ------ --------
BUILDING & %AFETY PLAN REVIEW REQUIRED 87O928 GGM
------------------------------ ------ ---
------------------------------ ------ ---
COUNTY ENGINEER NEW COUNTY ROAD APPROACH 870920 GGM
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ENVIRONMENTA| HEALTH NEW OR ADDITIONAL WAST(--// A
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****************************** BUILDING PERMIT ************************* **
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE U%E=
DWELL UNITE= i OCCUP . LD- BLDG HGT= %TORIE%=
BLDG W X D = 35 X 68 %Q FT= 960
REQ PARKING= 4HANDICAP= %EWER= N HYDRANT= N
PROCE%%ED BY : MA%CARDO, GODOLFIN
*********** *«****************** THANK YOU *********************************
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******************************************************************************
* - INFORMATION WORKSHEET *
******************************************************************************
* , U154 — II t) -1 *
* PARCEL NUMBER: r ' D ' d 2_2(5(( *
*
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*
STREET ADDRESS: NI 3 2 ( 7 w I (,i 7 f%, CJ-, *
*
*
* CITY/STATE/ZIP: G=,`� Ufa` I I . / �9��� *
* SUBDIVISION: I l NG- ti1 S r / 1 A-pp rn 01, 331 *
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* BLOCK: % LOT: ZONE: j) , v DISTRICT: *
*
*
* LOT AREA: ., F/A: WIDTH: ' DEPTH: I R/W: ) ô 1
*
*
* # OF BUILDINGS: l # OF DWELLINGS: I WATER DISTRICT:
* OWNER: in af..x ('� a 7Lhi�Ei' PHONE:` .�- /5:6,/
* MAILING ADDRESS: 5 /3 q c2-- 3 a rn *
CLQ* CITY/STATE/ZIP: & L>At1J L3 C -( A6
• CONTACT: . # i j A i , t PHONE: A 39,8 - l .J//r
*
* SETBACKS: - FRONT: LEFT: RIGHT: REAR:
*
* PERMIT USE: 9-f/LDCR Ts IO *
*
*
******************************************************************************
* BUILDING INFORMATION
*
*
* CONTRACTOR LICENSE NUMB *
*. CONTRACTOR: Al O R 7NP4 N A 0 6./6_ / NoM�FS PHONE -328 - 0//i. *
. *
* MAILING ADDRESS: -.145/5 -9---3 .5 .;1-'79642-
_
* 'ARCHITECT/ENGINEER: "-r PHONE: - - *
*
* MAILING ADDRESS: *
*
*
i
* NEW: REMODEL: ADDITION: CHANGE OF USE: *
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
*
• *
* BUILDING DIMENSIONS: X (WIDTH X DEPTH)
SQ. FT. :
*
*
* REQUIRED PARKING: f HANDICAP: SEWER (Y/N): HYDRANT: *
******************************************************************************
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