1989, 08-14 Permit: 89002809 Adult Home Inspect ' 9 �
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BRO DWAY AVENUE
SPOKANE, WA 'HIN,GTON 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 ,/� ?7(:,4744;2",,cynATECATION j�"/fipOWNERORAGENT / /Q��f 0 7
PROJECT NLli`1BE:R-: 89002809 DATE= 08/14/89 PAC;E:=:: 01
:r.SSL.JED PERMIT
**************************** PERMIT INFORMATION xxxxxxxxxxxxxxxxxxxs:xxxx*xxx•
SITE:: STREET== 3026 S RAYMOND CIR PARCEL..T== 29544-0903
ADDRESS::: SPOKANE WA 99206
PERMIT USE= ADULT HOME - `,Ac-ET
F'L..AT := 000376 PL..AT NAME= CHESTER HILLS HEIGHTS
BLOCK=:: 4 LOT= 3 ZONE= AGRI DISTO= F
AREA= F/A= F WIDTH= 100 DEPTH= 14 R/W:= 50
0 OF BLI)GS:: 1 t DWELLINGS= 2
OWNER= S CAMPER, VICTOR PHONE.= 509 928 9093
STREET= 3126 S RAYMOND CIR:
ADDRESS:: SPOKANE WA 99206
CONTACT NAME:::: RUBY STAMPER PHONE NUMBER=:: 509 928 9093
BUILDING SETBACKS : FRONT=:: NA LEFT= NA RIGHT= NA REAR= NA
•x•x•xx•xxxxxxxxxx•xx• •***x•ji•m:x*r:**•x** BUILDING PERMIT **xtt* •*x•x•*• *•r:x#x•x*nx •x•r:x•xp:..tt.x.
CONTRACTOR= OWNER PHONE=:
NEW= REMODEL= ADDITION= CHANGE OF USE X
DWELL UNITS= OCCL.JF'. LD= BLDG HGT::: STORIES=
BLDG W )t I) :::: X SQ F T==
REQ PARKING::: dHANDICAF':::: SEWER=': N HYDRANT::: N
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
CHANG OF USE/SAFETY INSP Y 50.00
xxxxr:xxxxxxxxxxxxxxxxxxxxxxxx** PAYMENT SUMMARY xxxxxxxxxxxxxxxxxxxxxxxxx•**X
PAYMENT DATE RECEIPTt PAYMENT AMOUNT
08/14/89 3493 50 .00
TOTAL DUE= .00 TOTAL PAID: 50.00
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING; PERMIT 50.00 50.00 .00
50.00 50. 00 .00
PROCESSED BY : STEVE HOLYK
PRINTED BY : STEVE HOL..Y <;
xxx•x•x•xxxx•:•x •*x•g•xx•x••x•xxtt•xxxxxxxxxx THANK YOU xxxx:; xxxxx*xx •xxxxx •xn:•xx•r:x* :••r:•xxm:s:
INSP - ID 6.5:. '_.
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* * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for C/O processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
Temporary C/O requested (yin) Certificate of Occupancy issued:
Received application: By:
Approval granted:
By:
Ninety days after C/O Issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor - plans destroyed:
Notes:
INSPECTION REPORT
Spokane County Fire Prevention
DEPARTMENT OF BUILDING AND SAFETY
North 811 Jefferson TYPE: Building
opokane,Washington 99260-0050 Other
(509) 456-3675
BUSINESS NAME: f, t-''1 '74 r.;--„,,'Aii1.f / ' CONTACT PERSON:
PROPERTY ADDRESS: - `�� f r( ,4-ier< �'-.�' k' PHONE NO.: :;;;"7" ----- 7 7 _L,--.
APPROVED: -REQUIRED CORRECTIONS
DATE/INITIALS
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This inspection has been conducted in the interest of your safety and the ordinances and laws adopted by
Spokane County. Your cooperation in correcting the above-mentioned hazards and/or violations is appreciated.
/ / / ,/
The above-listed items will be reinspected on or before -. /-/". ,� ,- APS X'`E�.. y .
7 .7-
.,
., you have any questions concerning this inspection or if you feel the reinspection date is not adequate for
compliance, please contact this office at 456-3675.
7 �.
PAGE OF INSPECTOR: DATE: ;>