1989, 06-28 Permit: 89001969 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 HATE
APPLICATION
xxx::,t•..* ** *4 r* : :: r: 3c }}? : ****: ** APPLICATION
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E 9TH AVE PARCELO= 22%44-093,3
,..E±,., �...•... ..
PERMIT UEE= REEIDENCE ADDITION — FAMILY ROOM
PLAT4= 002404 PLAT NAME= EOMMER ' E ADD TO WOODWARD PARK
BLOCK= : LOT...
i'-I i`:}...}..,.... ,.. ::,.... }.. WIDTH=t.,':.. DEPTH=i
OWNER= i: • . . i . . BRUCE
& NANCY PHONE= 509 928 4719
STREET=, .... . .. . .., :I E 9TH AVE
ADDREEE= EPOKANE WA 99216
CONTACT NAME= OWNER PHONE NUMBER=
'J!::±t'i:•:V.?i:ii'.i!: :....;}};;i}:;n,'.:!i._j._�!..:•?i::?} l.....::, +i..i,:.ii..i,: i..},: .}.,. .i.
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REVIEW { _
ENVIRONMENTALBUILDING & EAFETY PLAN REVIEW REQUIRED faMW
ENERGY PLAN REVIEW REQUIRED 890628 CMW
Spokane -County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: A- ' 43/477\-
CITY/SIll'ATE/KIP: c ,?j/fai tv_ &L)A7L,5
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: $ OF DWELLINGS: WATER DISTRICT:
OWNER: _ ) i'" . ' / � f� PHONE:�ZC/ - ' - .7//
MAILING ADDRESS: C2 . /3/ (�
CITY/STATE/ZIP: � u� b)/z• • ?/,72/
CONTACT: PHONE: -
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: B (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:
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