1989, 06-21 Permit App: 89001867 Residence 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 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 DATE
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SPOKANE COUNTY DEPARTMENT OF BUILDINQ AND SAFETY
W. 1901 BROADWAY AVENUE
SPOKANE,WABNINOTON O024O
(000)460-987&
cowl*alit+flays ilfaminatlthis permitand Alta that the Itan What Ionaprl& *d In t,and sub mltwodbymaormy'peril toppmplleasIppp+mllistrysand WIToot,In
stldltlan,I nava rpad and understand till I OPE)TiQN{tEgtJl11E11AEMT9/NOt 1pC pr0Vreloni Include0 hsrsl n and aprea to comply with same,Allprpvlelons of lash
and PidlnsnOnttowoolapprhlOtypeofworkw+pbaownPlladwithwhathyr>psoitlaihehlnornot.lJ9aerllandth♦ithelaeuanceofthisprm,itan0anysubsequent
Iaspsatlon"innovate or'tooth .tis or Occupancy shill not ha oonetruod to Iva authority to Aptete of cantothe pravtafons of any Maio or tOOtil law raQulatinp
vanatrumpon,or OP a WARanty of aon(Ormanpo with the prpyle+4flO of any stela Of laoal levee rloulat,np construction.
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Spokane County ,
DEPARTMENT OF BUILDING & SAFETY
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A Division of Public Works
INFORMATION WORKSHEET
0 pi
PARCEL NUMBER: O 7 S 5 / 0 f 1
STREET ADDRESS: L`• / fir?) x'`4 1 U w/4 R t
CITY/STATE/ZIP: 7ole'A , /414 , *"a /G
SUBDIVISION: v
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
$ OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: bon-.L, p.4 4 F D
OWNER: h'\ GL C i2 PHONE: - - /62 Z
MAILING ADDRESS: C , / Z.4) u e✓2 t.- ' fe,zi
CITY/STATE/ZIP: 0 k4 . IAJ4
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: e
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: AJ E 12. i PG q
CONTRACTOR: k"E--r /v f PHONE:
MAILING ADDRESS: p S
ARCHITECT/ENGINEER: Sr\ - N PHONE: - - S6l F
MAILING ADDRESS: e.,
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: Z
BUILDING DIMENSIONS: X S 9 (WIDTH X DEPTH) SQ. FT. : i' -2rf
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: