1989, 07-20 Permit App: 89002341 Garage SPOKANE COUNTY DEPARTMEt`1T 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 HATE
PROJECT NUMBER= 89002341 DATE= 0 /20/09 PAGE— 01
APPLICATION
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SITE CTFY_ 12622 L
j f J 1r K f E "i :! ! . 27543-0913
ADDRESS= SPOKANE WA 99206
PERMIT USE= :,Rsf..
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PLAT}...}..,a
PLATO= 001218 } f'£t"ff t,.. HILL v .I.:.}a ESTATES
BLOCK= 7 LOT= 17. ZONE= SFR DISTO= F
OWNER= JEE .LDOUGLAS "iL .
509 338 2568
STREET— 12622 L.. v.?f? } V .4.t..,iF= :"i .
t
ADDRESS=
SPOKANE WA 99206
CONTACT `A {L . DOUGLAS
_ rLAC « AlH[
' .E ' PHONE
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NUMBER=..... . 509 832 C5-'',...
BUILDING SETBACKS : FRONT== _:9 f»(:'f:-'}•.... 5 RIGHT= EXIE REAR= 76
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DATE
DEF:=" , f MENj NAME
REVIEW iJ I . 2 s
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BUILDING & SAFETY PLAN REVIEW REQUIRED
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CONTRACTOR= fes}
BLDG W X
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: 6./2(4,ZZ SKYV/E1./
CITY/STATE/ZIP: S(PcIk8h'e--,1.1a, 99zi
SUBDIVISION: ).4t l 1 View E -/- 4-5
BLOCK: 1 LOT: 15 ZONE: / DISTRICT:
LOT AREA: 10400 F/A: WIDTH: ed DEPTH: 1301 R/W:
$ OF BUILDINGS:;� # OF DWELLINGS: WATER DISTRICT:
OWNER: '1.1 -1 i t ag ( 11 c e' I-L- PHONE: 501 - 923_, - 3
MAILING ADDRESS: E1ZC9ZZ Sk6eleta
CITY/STATE/ZIP: Spkall'A- / � BS h . 99Z/CO
CONTACT: Iik S l Zcc_ �e r !- s-- PHONE: SCI - 832f - $SCa3 bt,S.
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
****************************************************************************
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: # HANDICAP: SEWER (Y/N) : HYDRANT: