1987, 08-14 Permit Application: 87002642 ResidenceSPOKANE 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 APPLICATION
OWNER OR AGENT DATE
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SITE S fE i = 20:4 S ADAMS ,
1 PARCEL 4= 26542-3513
ADDRESS= vERAttL..AE: WA 99037
PERMIT USE= RESIDENCE
i°'1._AT'4=: 003935 PLAT NAME= L_E:HI: FIRST ADDITION
BLOCK= 1 000 LOT= 1300 ZONE= SF'R DISTt=
AREA= 00000000 F /A =. E” WIDTH= 105 DEPTH= 180 R/W= 60
., ._ DWELLINGS=
OWNER= KOST€ L.ECKY BUILDERS
S11! T == 111 E LINCOLN F;0
D ' S =: SF`O ! WA 99208
PHONE= 509 466 0813
CONTACT NAME= JERRY KOSTEi_.ECKY PHONE NUMBER= 509_'.466- 0813
'_IL.DING SETBACKS: FRONT= :30 LEFT= 50 RIGHT= 15 REAR= 12
t 3rx. *3i••x•*st*,ri***t :• * *t*;s• *tiithx•x *k *iiu• REVIEW INFORMATION
_ : : : :P,4RTMEN ' Nt-ilt'1E
t. SAFETY
COUNTY ENGINEER
REVIEW COMMENTS
FLAN REVIEW REQUIRED
NEW COUNTY ROAD APPROACH
**********K***********
DATE
TN/OUT INITIALS
870814 044
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ENVIRONMENTAL HEALTH NEW OR 40OIT: €0NA_ WASTE (1._'( 8
..._Est 10107
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CONTRACTOR= KUST'EL_ECKY BUILDERS
STREET= 1 1 1 N LINCOLN €il)
ADDRESS= SPOKANE WA 99208
PHONE= 509 466 0813
NEW= X REMODEL= ADDITION= CHANCE USE=
DWELL. UNITS= 1 O L 't' li t i...:C7:- BLDG 117 T - STORIES= 1
BLDG W X D _. 34 40 1iQ FT= 1091
I:iE:tt PARKINf; . #HAN'L)IC47'•- SEWER= N HYDRANT= N
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