1987, 01-29 Permit App 87000222 Interior RemodelSPOKANE •NTY DEPARTMENT OF BUILDING A•AFETY
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.
APPLICATION
DATE
SIGNATURE OF
OWNER OR AGENT
ADDRESS= SPOKANE
1840 PLAT i' ` *y.% i"t }::. • '..
ADDRESS= SPOKANE WA 9920
DEPARTMENT NAME
REvIEW COMMENTS AV DAIE 'NTT
TN/OUT TN/OUT
COUNTY . ENGINEER DRAINAGE I" r:: . ,, ,... ;:.: L.. ! I 'ti
ASA
:.'�.�;'!:. 1'•-; i � NEW .F. .. ..'. I::'i�r .�; i't':z
,... a .: ., ..., I HEN i••! !... 1 I-� : ; :._ :�:: :..:: t. ;.} s•-; �.; i.:. WATER ... .. .....
-6- -n 7n i?,0
ENVIRONMENTAL I :..; .., ::1 OR ADDITIONAL. I;.;:
: .i liiNTY PLANNING INADEQUATE ROAD FRONTAGE 8701..... _:.:._
�5 n cr. n &v.,
COUNTY 1-.;t—TES h' I ; PRIORITY SEWER AREA r,'C66'j., 44 Ay � C >
uFIRE
.r., ,..:: . ...... ........ HYDRANTS Ri ; i U_ t :
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 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
ADDRESS- SPOKANE
.I...l i-.i.!+. ..l.{ii = j.?.il;}'(,:. ; I`'.i_JNta CONSTRUCTION
FIRM N AMII: •• i-7I':1"ice. : I'';'.t(I(. CONSTRUCTION
"•!'••'- REMODEL- X (.:!'.1D ;. II-1 N:::: CHANGE USI::.=
I
I"; E Q PA R F...!. r:..:r :::: 4 ."; A f`; %i .I. !._. ;:i! 1::° :::: SEWER- ; HYDRANT -
PERMIT
GROUP TYPE
OFFICE VN
TOTAL VALUE=
r MIT FE II
ITEM DESCRIPTION M F.:Pt R. E.
COMMERCIAL
VALUATION
, OR BLANK
PLAN REVIEW FEE Y OR BLANK
:TTATE SURCHARGE Y OR BLANK
!* * : !::. ia i: ::. aL• .attiuN 3 { I °'..* .l:;:!I::F.i::i.F F 4:4..4
• . % •
(THIS IS NOT I; FERia1IT)
• BUILDIN PERMIT APPLICATION WORKS EET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE !N INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOH DEF'AH I MEN I AL Uat
I project Number 222_
Owner's Name LAST FIRST MI
ARMZTROA)(— PfcK e M . L
Project Address (Street Name & Number) Zip
E , ic4c oe E )-2,,621-f ”" o4)
Applicant
•,v1 h)v i4A1 s* 14
Address
r ?9,7.. N', 0 A.)t&e.m, E 4 y
City
fi- le• 4 A_Ar
State
wA-
Zip
`JqZ-011.
Phone
(;. ) 722. a24a
Business Phone
('S'Z)y )9L:.. _.MLD
Contractor/Agent (
Address /
City
-311)K,Iw E.
State
1..4..1.14
Zip
1'97�
Phone
(SDy) 12-2 2"2-4.c)
Contact
License Number (Required)
A w1STG *
09//fr7
J92N.2 i
Business Phone
(5 ) y';:° •,. 22 Ga
Architect/Engineer
Address
City
State
J
I Zip
Phone
( )
Contact
Business Phone
( )
Lender
Address
City
State
I Zip
Phone
Describe Work 1mN C.00¢. F
Zxrret2t o re I•-io L V 1 s-r4& 4*J b to )f
Res.
Comm.
`..--'
Subdivision/Plat Name/Shorn Number
( , . ) PPo k-r- ourr-/
Assessor Parcel Number
29-642- — 0308
Lot
Block
Plat Number
Pertinent File Numbers
Zone
C cw-1
Comp. Plan
Census Tract
Number of Dwelling Units
Number of Buildings
Lot Size (Sq.Ft./AAcrre)
aFt�
Depth
Frontage
Front Setback
Left Setback
Right Setback
Rear Setback
R! W Width
Additional Information
# 1Ztoo VALu4T-r o'1
NG INFORMATION J
Square Footage
/2114 ATI
4 eKc5r(NCI ACTS -;.''D euz-
s
J_
5
co
Number of Bedrooms
Group
13-2
Type
v0
Budding Technician ...
Date
/ —._.4-87
DEPARTMENTAL REVIEW
Approved
Cond.
Approval
Hold
Environmental Health
❑ W. 1101 College
Room 200
Application #
Planning/Zoning
❑ N. 721 Jefferson
Engineers
❑ N. 811 Jefferson
Utilities
❑ N. 811 Jefferson
Plan Review/Fire Prevention
N. 811 Jefferson
Other(SEPA/Critical Materlal/etc.)
Fast Track/Special Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application Is true and correct.
Signature /�'�-� Date cy,S(f
Signature