1987, 01-28 Permit App 87000202 CondoSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I haveexamined 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 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
0% &/ ,/eau
SPOKANE COUNTY DEPART MENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
.D1'i TE 1 F . 8!'+?•''i
f.:..,-! ! EL. € (• !`$i..)!'it:=F.:.E:..... 87000202 '`!'Al:+.l.:::.l... !"•!,.!!"P!71::.', '! 7::. ::1.••-'! ,:;!_ '€
;. R_ ,.:,.... SPOKANE WA
99206
i. ! N I Y UTILITIES _ PRIORITY
SEWER
AREA
COUNTY UTILITIES
FIRE DISTRICT
W/IN PRIORITY SEWER AREA
HYDRANTS REQUIRED
BUILDING rERMIT
CON1 R',Ac::TOR= f:;LJNER
FIRM {'1 A f'I I--:::: OWNER
t s r E:
E'-i :', ..: I"i r i....;'
f .Y ":: D. A. €..i f... f'' I C
STREET:... 12121 I::. BI' Oi'•1s ;}ij::j Y
i - SPOKANE 1
79206
AVE
870128Jy
I!r i6r!/T
870128 [GM
870128
1.:: '.Y I'E
P4 f... t •, k REMODEL= . € D ..; .E. E .. l.. N= CHANGE
DWELL;.. i f _•• ' 0 i , 1 , .: i . , 5 i) .. i •1 ° ... 16 ,• I, , 1. .4 ....
.f:4l:...1...1.., f.rI�2I.7,.,,_.. , .: t.f..:�.:_!I�., ....A:-•
....:, i =.-'I rt..'..1. N OHANDICAP= SEWER= .. HYDRANT= .(
PERMIT VALUATION
DESCRIPTION GROUP TYPE EQ FT
APARTMENT
,i "
75
TOTAL (.i... VALUE::::
:ir'I-'Y t,
ITEM ii DESCRIPTION
COMMERCIAL VALUATION
PLAN REVIEW FEE
STATE SURCHARGE
ENERGY SURCHARGE
VALUATION
212625.00
212625,00
MEASURE
."t?» QUANTITY .' AMOUNT
Y O
R BLANK 1035.00
Y OR. BLANK Y 672,75
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 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. The granting of apermit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in hand submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 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 specif ied herein or not. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I haveexamined this permit and state that the information contained in it and submitted by me or my agent to compile said permit istrue and
correct. In addition, I have read and understand the 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
(THIS IS NOTA PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
_....--- ...._.. ....— . " , ., , , ,.,". , ,. j
L Project Number LC 2 2,0
Owner's Name LAST /' FIRST MI
//J
Project Address (street Name & Nu b r) Zip
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Applican
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Address
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City _'I4/1J
State /�
60,I
ZipZi
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Phone
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Business Phone
Contractor/Agent
Address
City
State
Zip
Phone
(
Contact
License Number (Required)
Business Phone
( )
Archittecctt/Engineer g� J�%�%
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Zip
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Business Phone
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Lender
Address
City
State
Zip
Phone
Describe Work .-
Res.
Comm.
Subdivision/Plat Name/Short Plat Number
:Assessor Parcel Number
g7911- 13Ot/o3
Lot •
Block
Plat Number
Pertinent Fife Numbers
Zone
/�/l
irf-S
Comp. Comp. Plan
Census Tract
Number of Dwelling Units
rt I o
Number of Buildings
Lot Size (Sq, Ft./Acre)
Depth
Frontage
I 'C;�
font Setback :
-,w
Left Setback
Right Setback -
Rear Setback _
R/ W Width ..
.Additicnal Information
BUILDING INFORMATION I
Square Footage
+r
l215X5=
Got y fir
•
Number of Bedrooms
Building Technician
Date -
Group
Type
o.ol t -1
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