1987, 12-15 Permit App 87004214 Relocate HouseSPOKANE 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 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
OWNER OR AGENT DATE
APPLICATION
. .. 87 r:l l:.l•.....I 4 . e •D ""! : I:: ... : I"' I") l:: .. 01
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......:................. ......:..... .t i i ! ...:. _..: i-•i ! .t. ?.r!-.. ..
;..1 .. SPOKANE
..[K'y <' •' WA A 99206
PERmii .(t - ' ! j " • ..WS DETACHED GARAGE
}" l.. ;..i i ., ..... 0036Yr PLAT.NAME= PINES WEST
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c WNE: 't:::: c::t.J'E I"'iii:I:i:::: R!''71...E'1"I
STREET:::: 13423 E:: 32ND AVE
I' D JI E S::::: SPOKANE t:Ji<ANI::: WA 99216
CONTACT NAME= FA i 3. BREITHAUPT PHONE NUMBER= 509 328 0111
BUILDING SETBACKS: FR • ..NT= 0030 ;... e:.. (:.. 0010 RIGHT= 0000 •; I::. r..7 R .... 0000
;}:1.}y;ti- •j{• ?{111ti i:{j:s:• 4:{l*)j*/{REVIEW I_„`±Tr:
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DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
.:-i .` : PLAN REVIEW REQUIRED 6(12.15 ... .r I"i
COUNTY ENGINEER
NE COUNTY ROAD ' Pl::• R!_tr';I: H .... ...}::.r1"i
ENVIRONMENTAL HEALTH i`'. }::. ?hi OR ADDITIONAL W r.:i . .... : ' r', , }... , +.
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*4***************************** BUILDING i' i._ r, m .I. I ***************4************
}:O:`, t 1 °rlt::', }::)i: OWNER PHONE::::
P"'tl:::t.? = X l :I:::MODE::i.. = r7!.: 1.: I ; .1..1;1' :::: CHANGE USE::-
DWELL[It.}. } :': = i }C(.,IJI((" ((:, Li :::: i I.. Dl.r I"ILr•i•:::: ,S i ? 1}':.I. }::.�1::::
:,s i,. t t..i.4i+..I.Idtx...• .4HANDICAP= ..> ...W ...I'<:= I, ,! ,Di';rii14 I :::: }',:
*************************************************************************
INFORMATION WORKSHEET
*
*************************************************************************
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* PARCEL NUMBER: b d. 5 1 12-- a I
* STREET ADDRESS: I M i �? fA I L (LOAM
*
*
*
*
* *
* CITY/STATE/ZIP: *
• SUBDIVISION: /fi e S taS7` jS - 3 1
* *
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* BLOCK: O`er LOT: oeWZONE:/ �`
DISTRICT:
* LOT AREA: /5 g F/A: WIDTH: /.Z3/ DEPTH: /ems. SS R/W:
* *
* # OF BUILDINGS: / # OF DWELLINGS:
* OWNER: 4/7)A 6 / / f h, i % e PHONE: , ‘ -
* MAILING ADDRESS: 5 /5 /?3 3 2./7-Ice
* *
* CITY/STATE/ZIP: 5/01:41 Oa 9 472- 6)
* CONTACT: a _ff / 6-cti-lIcayjf PHONE. a_ ___
* SETBACKS - FRONT: 3o LEFT: tO RIGHT: - REAR:
• PERMIT USE: e / fi G 6 w; 71-A 07e 7LOM rc7e/ a'AiraitrGa
*************************************************************************
* BUILDING INFORMATION
* *
* CONTRACTOR LICENSE NO.:
* CONTRACTOR: , / A -;16( / f%"2eZ.- (-14J PHONE: % - _ V *
* MAILING ADDRESS: /S4/2-3 32" 41d
* *
* ARCHITECT/ENGINEER: PHONE: - - *
* *
* MAILING ADDRESS:
* *
* NEW: REMODEL: ADDITION: CHANGE OF USE: *
* *
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: *
* *
* BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.(7-6
* *
*REGUIRED PARKING: # HANDICAP: SEWER:(Y/N): HYDRANT:
***********************************************************************
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* MAILING ACCRESS: T
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* PREVIOUS ADDRESS: *
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* LOCATIGN: PARCEL NUMBER: *
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* SIGN INFCRNATICN *
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* MAILING ADDRESS:
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* SGUARE FOOTAGE:____ POLE FEIGNT:______ *
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* OEMCL I T ICN INFCRNAT ICN
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* MAILING ADDRESS:
* BUILDING SCUARE FOCTACE :
* *
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NUMBER CF BUILDINGS:
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