1989, 09-05 Permit App: 89003190 Residencei
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 end correct. In
addition, I have read and understand the INSPECTION REOUIREMENTS/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 herelr, or not. 1 undorstano that the Issuance of this permit end any subsequent
inspection approvale Or Certificates of Occupancy shall not be construed to give authority to violate Or cancel the provisions of any state or iocel law regulating
construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF 1`
OWNER OR AGENT
APPLICATION
HATE
PROJECT .....::::i:_R'^ 89003190
DATE= 09/05/09
APPLICATION
.ji• x• y .. •....... * •x• ),..)i. yl...?,:• .a..? f. x• x * .x x * . •)! 'ri .. x• rt• ?t' ?i• . •F: AppLiCATIoN '?t: -? -?i: 'i:::C }.: '?.::I;:.x .?i )i x K K ?; ?i • -?i h:' : -? k A Y: 4 : )•::L
r, • 'r' t:" STREET= 17605 .�• y .� .... 111:: '•r RD
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t r r 1 t c:+ ADDRESS= GREENACRES WA 99016
PERMIT USE= 1 •-.ir.r.:J.3rt..I I..:...
Ar•rr+r-r .n._.. ....7r7cC''}....901rrr•:9••a,1
P !._ I^i a .C..._ 999999 P4._1"f N r i = y'!}'4'!144,1. 91D4 a
BLOCK= LOT= ZONE= AG
AREA= Fin— WIDTH=
.a. 1 i1': T:: f .r.,• ... -y .a. DWELLINGS= '1
'e' .:: r • .tl L...u' BLDGE= ":• •a'
OWNER= "lEf, ODDi "_VIN - MARY
SY
STREET=
1 r.}^, rr FAIRVIEW I.t AVE i i S i... i... i ... I n:. 4l .-i L:. t" r•i .1. 1; '1 .1. L.. i d •-• v i...
ADDRESS= SPOKANE WA
1 r•. r9r,'•if.'-:::
Ts. r 1-, T t..i -..
PHONE= _pr 924 2050
it4rA_r NAME=
-- i V : 1 , , Y Tr?^ NUMBER=
509
ry"'-t 2050 -
BUILDING
0:rv^,,.,
,.,E..r.r•.r.:1;• FRONT= • 8>~: 25
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DEPARTMENT NAME
BUILDING & SAFETY
REVIEW INFORMATION
REVIEW COMMENTS
PLAN :"..l:..§.LE._W REQUIRED
............
BUILDING r SAFETY s:.C_-L`REVIEW
1 .. \ ..J.! :I....\:
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IN/OUT INITIALS
BUILDING x SAFETY
.F:r\-;t+X- PLAN
_rh , _ v rREQUIRED
rer stm rt_A
....O.TyENGINEER
1 _ 1 E rf ^r}rr.OrPLAIN/DRAINAGE
iG..LIA_..
3 ENVIRONMENTAL HEALTH NEW OR ADDITIONAL WASTE 1 1:. .. .
1
COUNTY PLANNING
890905 EnH
890905
:l/,:,1a, i'rNr-
890905 ST:';
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755/7
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PROJECT NUMBER= 89003i90
DATE= 09/05/89 PAGE::- 02
APPLICATION
******************************* BUILDING PERMIT *********«*«*************«**
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF U%[=
DWELL UNITS= i OCCUP. LD= BLDG HGT= 12 %TORI[%= i
BLDG W X D = 72 X 41 %Q FT= 1535
REQ PARKING= tHANDICAP= %= EW[RN HYDRANT= N
***************************** MECHANICAL PERMIT **************»*******»***
CONTRACTOR= OWNER PHONE=
*******************«****** PLUMBING P[RMIT **«****«*«***********«****»***
CONTRACTOR= OWNER PHONE -
PROCESSED BY: STEVE HOLYK
PRINTED BY: STEVE HDLYK
*****************»****»******** THANK YOU ***********************»*»***«*»*
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Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: O-25 3-02-906C PTi(
STREET ADDRESS: C / 7 60 C 4494 71 9oAler l/
CITY/STATE/ZIP: s e.e no <: l Q //VA 9 9 0/6
SUBDIVISION:
BLACK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER:
t4/J,7 se - A Fc , f %1 et/teal
E //Zoy FA/PVVEu/
MAILING ADDRESS:
PHONE: - I Z4) -
CITY/STATE/ZIP: s-cf)k a tl P m/4 9! z o
CONTACT: Q— - PHONE:
_ as
SETBACKS: — FRONT:– LEFT : O RIGHT: REAR: 31D
PERMIT USE: P O_A!
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
At, 7jV/r 1 -
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: X REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS:
7t x /
REQUIRED PARKING: # HANDICAP:
BUILDING HGT: /1.— STORIES:
(WIDTH X DEPTH) SQ. FT.: /STS S
REWEP (Y/WI: NVT)RANT!
(
1.._r,1 SEP 13 '89 11:25 ID:HERLTH 5FO `ELrNO: 456 4716 swami. 100;61.
1
SPECIE IONS �y�
TYPE OF SEWAGE SYSTEM; .j+ w dc.C1s1 D ',
ONEAL OR SQUARE TAGS__. 1 t l —
TRENCH WIDTH _ —"---
OF
DEPTH
FROM
SYF,rL!UAL ,1(e SUgFACE TO SOYT: M �M"
OTHER: l
SIGNATURE:
IF YOU CANNOT INSTAL! THIS SYSTEM ACCORDING
W THIS APPROVED PLAN, YOU 114UST CAL! THE OFFICE
AT (509) 456'6040 PRIOR TO INSIALLAIION.
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