1989, 08-04 Permit App: 89002630 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 IlATE
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PERMIT
Et iI US' . RESIDENCE "DDaTI . ENLARGE f ' : _
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OWNER= :f t Ls ! 1 x:aAy Y S L
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STREET= 41 1 f'! VISTA R°D
ADDRESS= SPOKANE 31..3
99212
.:,...:i.l..i w,...,T NAME= OWNER
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BUILDING . T ? Yiu FRONT= . . : . LEFT= E RIGHT= NA ' . " " : 60
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DATE
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DEFAI... •Y':.:EN , REVIEW COMMENTS IN/OUT
BUILDING
.. :,i i.Er i::vd REQUIRED t c _ r s.l.
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BUILDING &
SAFETY SETBACK .Ea3EW REQUIRED . . 0v -... ...
BUILDING :? FEYY ENERGY PLAN REVIEW REQUIRED .
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Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
/003
PARCEL NUMBER: , S IP teras
STREET ADDRESS: !" .4/// //,„ ,
CITY/STATE/ZIP: S�d1-e-, _ le)
SUBDIVISION: S U -(LIE
BLOCK: / LOT: � ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: .141 �� ,_ �j_� ' %/ PHONE: ,_5-0 ?- a D S'c,2.
MAILING ADDRESS: N
CITY/STATE/ZIP: �5 LO4 9 9',2/;L_
CONTACT: - 144:047 PHONE: ...r.07 r/.x - ca�0 5 c L
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:
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$ 8z'
_ 11111
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