1988, 03-10 Permit App: 88000458 AdditionSPOKANE 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
PROJECT NUMBER= 88000458 DATE= 03/10/88 PAGE= 01
APPLICATION
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SITE !:.. :.;(RL:.I:i. ! .... 19211 ::.. (; {, # !.! N i::. (:\,J:::. !.. i:.i ;”; C ,::. c....l,....•...._ :... '-- l } '. .:`._ %i ! i i'•%
ADDRESS= GREi::.i`'?A itl:. r WA 99016
PERMIT tL= ADDITION . O MOBILE "izAi
PLATO= ,t049tPLAT Ct!#:tO ;? . P ADD TOs « 5 : K 1C :C
BLOCK= LOT= .... .::.C:} ZONE= faL•;!..?. D.!.,.. ! •.. Ex
AREA= 00000000 WIDTH= 103 DEPTH= r......:...
PHONE= is ;''': i.:
928 5896
STREET= 21 1 E.(:t l..) O.) E''N i:. AVE
ADDRESS= GREI`:.NA?..,f'°:i::.S WA 99016
CONTACT NAME= OWNER PHONE NUMBER= ..?!-:i''' 928 sacks
BUILDING SETBACKS: FROM=
0065
NA RIGHT= 0015
REAR= NA
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A
IN/OUT .#.N;.#.#.f' 1_.,.
DEPARTMENT NAME
BUILDING & SAFETY
REVIEW i..:i a!'If''E;: N
............................................................
PLAN REVIEW REWIRED
-,:fit :_, ..
�:_ 8 0 3 '# 0 JEF
ENVIRONMENTAL
tVI ;NML;T:_ E:! " INCREASE ' i _ ) COVERAGE t
8 ': ' , ,.. G:.
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CONTRACTOR= OWNER
NEW= REMODEL= ADDITION= :. CHANGE t.;#•- 1
DWELL UNITS= (,II ;r .!-[I''., I._S.i:.. BLDG j"!�.(••�• .. STORIES=
pR {•,
O FT= 135
Hl.. : r: If:..!!': i ^ Al.SEWER= ; HYDRANT=
•
PROCESSED BY: FORRY, JEFF
PRINTED 1: li k: ! • i•' l.11't R Y , JEFF
* y;..p..kL..u. 34 3k :A: hi! .}!, .}{ .}!..}!.:1;..N7'}>; •It •7k •te:• * Il• •ff• * R •}t; •}t,• •1{• •i!; )L• * •1( 3!7 THANK t I # ^ .jj..7!' * yi '}{ :!7.1¢ * * * * P7 •P: * •)!i •l• •j{• :!4 ;!!i .},• r!ti i!•'.• :n; •i!; •1!; rp; :,i U; •}{; .}f -,!; •js•
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
Ii:.
INFORMATION WORKSHEET
T(/
1
BLOCK : 0 Oa LOT = ,2 g ZONE : t;(' DISTRICT :
LOT AREA:rv7/J;i; F/A: F WIDTH: / J s DEPTH:..2 j R/W:
# OF BUILDINGS: .2
# OF DWELLINGS: / WATER DISTRICT:
OWNER: /Pi 6 7h eA J 44uxl'f /(----),"„ e
P l > y frt ; Ol 2.c. 4 / ' hr (! `�-
MAILING ADDRESS:
PHONE:
CITY/STATE/ZIP: f 7 /�DO F) A �% 0
CONTACT:
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
******************************************************************************
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT:
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