1988, 08-12 Permit App: 88002355 Addition, Remodel SPOKANE COUNTY DEPARTMENT 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 DATE
PROJECT NUMBER= 88002: : 5 l::yA'1I::::::: 08/12/88
APPLICATION
i ) 1 *) ! d *) } 1 i **$ *S } * E I 1 i * {**} } l ... APPLICATION *1 1N. y * 4 t} j9Il !} ) ) * E
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SITE STREET= ti510 1 4IIBUR Ft IARirIO- 28544-0712
ADDRESS= SPOKANE WA99206
PERMIT USE::::- RESIDENCE AI)Iii:T:rON & REMODEL.. -•• FAMILY ROOM
LAT;;::::: 002392 PLAT NAME= ; K'rv]:E::W ACRES ADD
BLOCK= 1 LOT:::: 12 ZONE= AGS>HF DISTN{::::: F
AREA= 00000000 I•/A— I:: WIDTH=I•I:::: ;:i ; DEPTH= 149 I:./'I(= 60
:a OF BLDGS= I :: DWEL1.....NGS:::: •�
OWNER= FURNISH, DALE PHONE= 509 C24 95 59
r'
STREET= 2510 W I:I_.F+U F.; RD
ADDRESS= SPOKANE i?I::: WA 99206
CONTACT NAME::-:: DALE FURNISH P T 'l..H PHONE: NUMI:tER:::: 509 92.4 955
BUILDING SETBACKS : FRONT:::: 1,JA LEFT— NA RIGHT= NA REAR::: 76
)**•}*•}t h.b•3!•i*•i*•i*•It•}*. h:.a'it•i*•p:N•. ..*u.N:•}r.b:. REVIEW INFORMATION •jt at•H•}t M.'*..j 3..}t..•}t••h..*•.'•m:•1t••}t••**a:*)(A:•}r)f
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
BU:EI...DINc.; & SAFETY PLAN REVIEW REQUIRED 880812 GMW
ENVIRONMENTAL.. HEALTH INCREASE IN LOT COVERAGE 880312 GMW
i**N i(:d•.•}F it 3k•}i••}()i•*.. ...it){.:y@ Jk.) )t'•lk•}t.•}i!*** BUILDING PERMIT *k r:a n••}i)t iF***:,f..y,**:u;•}i}4)i h}k*}E•}i i*•}F}f p:
CONTRACTOR= OWNER PHC1NE::::
NEW-:: REMODEL= > ADDITION= X CHANGE OF USE::::
l:)WE::f._L.. UNITS= 1 OCCUP, I...:C}:::: BLDG HGT= STORIES=
BI...DG W X l:) = 14 X 24 SQ FT= 336
p:F:i' PARKING= ,"1:HAND:I:C:AF'-- SE::WI:::R=:: N HYDRANT= N.
DESCRIPTION GROUP TYPE SQ FT VALUATION
R E MOD El_ R-3 VN 14485 ,00
RES ADD R-3 VN 336 10080.00
PE::1::MIT TYPE:: f E:E: AMUUN'I" AMOUNT PAID AMOUNT OWING
-•-
BUILDINGPERMIT ..00 ..00 ..00
PROCESSED BY : W E::i l l)I L.., GLORIA
PRINTED BY : WENDEL.., i:;L..is1:fl:A
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INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: S
CITY/STATE/ZIP: -7 t) k A) e , Le) Pc l 9.g-06
SUBDIVISION: - ey
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: L S o R/W-
# OF BUILDINGS: 2._- # OF DWELLINGS: 1 WATER DISTRICT: Ste w h 6--
OWNER: QC, f P FCA. tU l S J7 PHONE: - Salt - Gf /
MAILING ADDRESS: S CL V A P
CITY/STATE/ZIP:
CONTACT: � PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: ADD rrl Oit) 4
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ✓ADDITION: t-------CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:
- --- -----• •-• • •� Q••r ;v1w curnpfete aescnption from deed, tax receipt, etc.) Parcel Number g
L T / Q /'3 Xt.K 7 ,Z) o
o f 1Z/IL/LX)''' (-6(>1"-<, �' d-
, f f
DESCRIPTION OF WORK: New K Addition Remodel Moving Bld Zone _
Size of Lot F6 !C/. 7 ' g'
Sewage System IV A
Stories / Dimensions a.,D X &.g 1
Total Sq. Ft, 56 V
Rooms _Baths. Basement _ A Foundation Const. ea--if-gyp,
Fu 1, part, none-)
Chimney
Heat. SystemType of oofing ,i..r..., ,! Eft. Finish 7=/ll
Int. Wall F
Use of Bldg. �� L , F%-f� li 1 ? 0�Ac
No. of Una
PLOT PLAN
Draw sketch with dimensions showing: (I) property lines; (2) street or road locations; (3)
proposed buildings; (4) distance to property lines aid streets; (5) dimensions of buildings; (6)
tem and water supply lines.
NORTH Er
1 i49. 44, 'p1/4
i 0re P/i er''G S+e'D --
if 6:-A RACi-.5
Q
J ��
`- Plumbing Perr
nv
s ll Heating Perini
.... _',1 / i
ut
0 ' Sewage Permit
'‘. i'
L Plans Received
Vo _J jt Plans Checked
n Plans Returned
1
' Plans Picked U,
Plans Mailed _.
SO
I he e.y certify infor,i: ion submi ed is correct : •t there are no other structures located
as shown.
. �
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCT
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
�
Tour street address will be _� , 1 , / là
Sewage Permit Number Issued `" The zone is 1
Building Permi //,G 6 Receipt Q9'�
Remarks 1,1
���i it