1989, 07-10 Permit App: 89002137 Additionti
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
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 LATE
PROJECT NUMBER= 89002137 DATE= 07/10/89 PAGE= 01
APPLICATION
********************K************ :.sitN ***A*******************:.******
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SITE STREET= 16012 ' BROAD t'"i it' .... ... ......:. f...t .... 36643-0105
ADDRESS=
:tR'!:.:r;;s!n99216
PERMIT RMI USE= R f -•r, DEN C E ADDITION Foie a M21. i.✓ w O CZ.i&- 1Z..Ee
PLAT.}!..... 002849 PLAT NAME= WELLESLEY MANOR 3RD ADD
BLOCK= .1000 LOT= 5000 ZONE= R-1 DISTO=
AREA=
:Er= ?0:±:'8; ? : WIDTH=
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OWNER= t :.i i f': ;.ii i t"i i...11 l••}
STREET= 16012 E BROAD AVE
ADDRESS= SPOKANE :.:N -E 14 :,t 99216
CONTACT NAME= ALVA OSTROM
PHONE= ii 3.v •••• 5652
PHONE NUMBER= R_.. 3:"0i./ 926
S C:•
BUILDING
t.; ,....Y. n ; FRONT= 25 LEFT= C:' RIGHT= REAR=
******§*********************** REVIEW '+ !is:'r''i+ii:'`.••r••,
« .A M [ i • NAME ;:i^COMMENTS _M:i
................................
BUILDING & SAFETY PLAN REVIEW REQUIRED
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DATE
IN/OUT INITIALS
................................
890710 jAS
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GUN D I tc a w . N DZ:. -To `�C3e .... L se- o - A` 2-r mtoNT
BUILDING :: SAFETY ., !... T . , :'. r••• K REVIEW REQUIRED
BUILDING : SAFETY
r:i.!CL:L'PLAN
!'•.t._,!.L?:.... REQUIRED
.«...
ENVIRONMENTAL
VIRC•}N{i:..NTA HEALTH
890710 jAS
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TEL HO: 509-45;-4716
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