1989, 07-26 Permit App: 89002436 Addition 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 agreeto 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
APPLICATION
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: STREET= 12122 E PORTLAND f"±U:... ^'!":*'•.t.:E_..':i•_.. ,.j
.._ADD;—;EES:::: SPOKANE WA 99206
:::
PERMIT € i - _ RESIDENCE ADDITION - ( . )" E! i : "M -
A e. 001038 ± _rNAME= x IFK raIEiACRES
BLOCK= iLOT= t I ZONE= ` X i }f y - cq? .
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AREA= 00010200 F/A= F WIDTH= 68 DEPTH= 150 R/W=
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OWNER= PHILLIPS, DOUGLAS PHONE- 509 _ /:::
s.i i i,E'.:-^. .... 12122 L.. PORTLAND f..F^t...
"',D f::''::'{"i-'.... SPOKANE WA
99206
CONTACT
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WER : OPNUMBER=
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DATE
DEPARTMENT NAME ; _4rW4 COMMENTS ! :i + YINITIALS
BUILDING is ,,`f:...'I ' PLAN REVIEW Q 'r GMW
HMO Ifo .... 3....moi ...c!a....tortvi.................... .: .'.S.S
BUILDING +»t L`.ti.±_"? +?- SETBACK REVIEW REQUIRED 890726
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, N 'r 'RC w,LN T ILHEALTH
E( [ rIN! rrArE IN LOT.
COVERAGE ... : .. _..
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 agreeto 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 f7ATE
PRnAEr1 NUMBER= 8Y002466 DATE= 07/26/89 PAGE= 02
APPLICATION
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{'-.:.�•J:,:\! , !;I:,..... {'}±.±!.±i:'?"' PHONE=
=—
DWELL UNITE= , O I...•L:U±' i...S)::: BLDG !l:.Y ± .:, ,:.±.L..:,:,::
I:;+i::•{,t PARKING=
A ",F iTNi"= .!L±..±«•.'±Y'1•P! -„, SEWER= N HYDRANT=
?'L; ; R" P P{ N GROUP
' - CY ' P . : - VALUATION
RES ADD R-3 VN 520 17160.:00
PERMIT . Y E E E AMOUNT AMOUNT
M tNy PkL ? AMOUNT
Mr N{ fWIN :
BUILDING PERMIT 00
,00 AO
/..,•L:• ,c±:"s, ..Y : ``±±::'It DE± GLORIA
{•
PRINTED BY : WENDEL, GLORIA
n ` I * : i* .**.r: 5 3 i - ^* s .* 7 Y. * 5 r .** THANK ' : r *n *"f' *i : Y * C. { j 5 f. . . { j. . .. :
.
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: (-) /,.5.-4/,./
STREET ADDRESS: 2_2_ PO piA 4 u rq ..
CITY/STATE/ZIP: .S p o ir.,4 n e/ bu4 qot
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: &,f / DEPTH: /5-0 ' R/W:
# OF BUILDINGS: 4 OF DWELLINGS: WATER DISTRICT: 1- R4/74/
OWNER: PHONE: qggp — qotc — P/67/
MAILING ADDRESS: c i / 2 Po r-1-4,4 h c/ 40 e .
CITY/STATE/ZIP: Se it-/4/,e („4/4 ,
• CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: ClG i f/o�v �O �.9 ivy , j e 1,./of
******+ *********************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS: ,
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: 4 HANDICAP: SEWER (Y/N) : HYDRANT:
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