1990, 10-25 Permit App: 90005661 Relocate DuplexSPOKANE COUNTY DEPARTMENT OF BUILDINGS
BROADWAY -AVENUE
AT«xKmNE,WASHnNxaTxxN 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the. information contained in it and submitted by me or my ,m compile said permit/application is true
and correct, and authorize Spokane County to proceed with pruf,=.0-irict, In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions on .s.n.nd ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application 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= 90005661
****************************** APPLICATION
SITE STREET=
ADDRESS=
PERMIT USE=
PLATt=
BLOCK=
t OF B*«EA=
SuwnEx=
ADDRESS=
CONTACT NAME=
BUILDING SETBACKS:
LEFTU8EACPA 90i6
DATE= iO/75
/9m p
*GF=
APPLICATION
********************************
*
pnRCFL4= 18553-0655PTN
i
RELOCATE DUPLEX
000000 PLAT NAME= UNKNOWN
LOT= 2 ZONE= UR -7
000e0000 F/A= F WIDTH= 109
t DWELLINGS=
JEM%Em, MARK
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.34:4314,4NE WA 9901 6
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7"fig- E=
FRONT= *���
MARK JsmSswJo = RIGHT =PHONE
nzST4=
DEPTH= 96 GR/W= 40
509 926 7124
NUMBER= 509 926 712'4
psAn=-4w4-
SeA
****************************** REVIEW INFORMATION **************************
DEPARTMENT
__---_-___
BUILDING
BUILDING
ENGINEER
HE*LT*Dz%T
pLAmwING
***********
REVIEW COMMENTS APPROVAL COMMENTS
-_------------------_-----_---
PLAN REVIEW REvIEW REqUIRED
SETBACK REVIEW REQUIRED
APPROACH/FLOOD PLAIN/DRAINAGE
NEW OR ADDITIONAL WASTE WATER
UNPLATTED/SEGREGArED PROPERTY
BUILDING P
********************
CONTRACTOR= OWNER
NW=X
DWELL UNITS= o
BLDG W X D =
REQ PARKING=
DESCRIPTION
-_---_-_-_-
FOUNDATION
***********************
CONTRACTOR= OWNER
RFMODFI=
OcCu L =
X SO FT=
t*wmD1owp=
GROUP
-----
R-3
********
PREVIOUS ADDRESS:
STREET= 12406 E nsSMET AVE
ADDRESS= SPOKANE WA 99216
PERMIT TYPE
---------------
BUILDING PERMIT
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PHONE=
ADDITION=
BLDG n*/=
13*0 SPRINKLER= w
CRITICAL *AT= w
TYPE SQ FT
----
VN 1340
i34O
RELOCATION
FEE AMOUNT
PROCESSED BY: BY: JULIE %*ATTo
PRINTED BY: JULIE %HATTO
.00
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-------__��
^****^~*"
C*GC OF USE=
STORIES=
VALUATION
---------
2a88.00
PERMIT *************************
AMOUNT PAID
-----------
.0w
-----------
.wO
******************************** THANK YOU
PHONE=
AMOUNT OWING
-----------
.ww
00
*******************************��
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: ca/O
STREET ADDRESS: .! ca O'�
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH:/ $4 ' DEPTH: 9/(49,2 R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER: T2,
MAILING ADDRESS: E / ()
CITY/STATE/ZIP: apo lam �Lf ZQ ,
CONTACT:
PHONE:
- 6, 7/Jqi
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
lZr vC a\ (Si)u p
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
c\A
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: ��
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: ll'
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