1987, 08-21 Permit App: 87002731 Addition SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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
j PROjECT NUMBER= ,87002731 DATE= OR/211 /W? PAGE= oi
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SITE STREET= 1219 ,: SKIPWORTH RD PARCELO=
ADDRESS= SPOKANE WA 99206
PERMIT I..+Si:•:::: 2ND FLOOR ADDITION FOR SEWING ROOM, BATH
PLATO= 000666 A NAME=
t1: - ` L . O N i D
AREA= 00000000 F/A= F WIDTH= RO DEPTH= 141 R/W= 50
OF
BLDGS= 7 0 DWELLINGS= 't
OWNER= ,T JP{ , RONALD _ PHONE= ;: / 926 .9549
STREET= 1219 :_ SKIPWORTH h'._'
ADDRESS= 3 " _ < ( + : A 99206
CONTACT NAME=
:i_•S N: , E . RONALD i sr 7 P i �=i , .,;. Ni M iE
r509-924f:,--9!;49!t t'•ts iB^t � , : 1.14.0 Ji... : " RIGHT= REAR=
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DEPARTMENT va _ REVIEW COMMENTS TN/OUTINITIALS ITE11 `BUILDING & SAFETY PLAN REVIEW .=v;:,is`'_ .i.R...I,? 870821 i..rMfl
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1 ENVIRONMENTAL HEALTH INCREASE IN LOT C :R •_ 0" . 021 /f,11
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t„le Pc:2147 /"/
¢fl*v*i { k linjlt k 3ijjgti: k f; ? j ? ) s BUILDING PEMIT f jy ? : 1 :4 : 9"? ? t 9flk 9j , jjq ? }? . * .
CONTRACTOR=FOWNER l'+E:R PI•-it:jt:4s; ::::
Ili-.W:::: Ri::.M..°.l:E::i..;::: ADDITION= x: CHANGE (.)Sl: ::::
DWELL UNITS= 1 I..ll...i..,!.. P., I... 1 ' BLDG HGT== (I_s'RIE:.`=
3 E ti PARKING= EE ._ fY - ...o Et : ! HYDRANT=
!
DESCRIPTION GROUP TYPE ::!.. FT VALUATION
RES DD .:'I::• R...i, `N 600 j'!.yj.'!j.} , j•j(•j
; -0fl ; ,4 jl P u kiRJ * iiflj *L: : j .*jf iPLUMBING PERMIT
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CONTRACTOR= OWNER
PERMIT TYPE
7 E , i : AMOUNT AMOUNT " dr ) AMOUNT - : . 7
r
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* INFORMATION WORKSHEET /�73/ *
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*
* PARCEL NUMBER: e7-/ 5 / 3 - / ,- b 3 *
* STREET ADDRESS: `� , /(/ q fr•j ) o /i* p **
* CITY/STATE/ZIP: Spokyt lie ti/(tet ?9 do 6 *
* SUBDIVISION: h L S Q
* *
* BLOCK: / LOT: ,s ZONE:( , DISTRICT: *
* LOT AREA: F/A: WIDTH: ao DEPTH: /40/ R/W:
*
* # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: 7270("940 *
* OWNER: -two ( d l . "'"-1--Ipe PHONE: JC-'9,-/v'l(i 9_5---v
MAILING ADDRESS: /9
*
* CITY/STATE/ZIP: -)Olce:ii -P , (, " � < �d *
J *
* CONTACT: PHONE: - - *
*
* SETBACKS: - FRONT:-IS1 $EFT: RIGHT: S REAR: XiSTI t1a *
* PERMIT USE: `Z G( 1`l�4.J(7Y a'd(1/1?) 1 *
*
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* BUILDING INFORMATION *
* *
* CONTRACTOR LICENSE NUMBER: *
*
* CONTRACTOR: PHONE: - - *
* *
* MAILING ADDRESS:
* *
* ARCHITECT/ENGINEER: PHONE: - - *
* *
* MAILING ADDRESS: *
* //CHANGE
*
//
* NEW: REMODEL: ADDITION: CHANGE OF USE: *
* *
* DWELL UNITS: / OCCUPANT LOAD: I BUILDING HGT: STORIES: *
* *
•* BUILDING DIMENSIONS:_t,`� X c (WIDTH X DEPTH) SQ. FT. :
* *
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: *
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