1988, 11-18 Permit App: 88003738 MH 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
PROJECT NUMBER= 88003738
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SITE STREET= 7004 E 10TH AVE PARCEL4= 24534-1104
ADDRESS= SPOKANE WA± .99212
PERMIT j..i,.;i::..... DOUBLE :+1.I.a:L.. MOBILE 5.?.:5 ii.«
PLATO= ;:?'i}s:.955 PLAT`s Nf"t{`1I::.:::: UJ:.II..i1.11... 1WN PARK
BLOCK= , ! LOT=.... ,.116 ZONE= Ai:N EU := D1:ET•if._..
AREA=±...: l'. •_ •r.. F/A=
WIDTH= 100 DEPTH= 135 ,, ..« .0
OWNER=
CERNEY, jOHN PHONE= !»
STREET= .1 ±" WOODLAWN DR
ADDREEE= EPOKANE WA 99212
CONTACT ! t . JOHN i : 4N : f PHONE NUMBER= ...909 ... ...... 1115
BUILDING :,t:. T ;A, : : FRONT= 50 --I j:... 60 1 { I•..
:•.f.r. .?}.* rf, i!*.}I:*}I.J? i***.ji..ji..t{75:***.1 f:'il'}h.}i..n. REVIEW INFORMATION :::SI::+•i:*:it:*'n:**31:*:!7Jtii.'11::ii:*•r{*.;f•it.:fj•:il,.*.}!..}L
DATE:
is E I''A I":I i`I E N ± NAME I'!.E`v1.E'.a} i_:c:I i'i I`i I::.i`! ± r'• IN/OUT I i''.':i: T•:I:A i...
---------------
COUNTY ENGINEER i . COUNTY
a : . APPROACH Berle
e1ii " a
HEALTH
_ » NEW :) ) [iNi ± ± WATER..i..:.i:; ;;i:;1 1 • _. 'jM
ENVIRONMENTAL ±' l::.r•?E._ '± �.....� .I•. ••€.?. .. i .. •71... WASTE i ... .. i :.. ...... I f i.} 1.i'i Wit.
I �
}`v i?'35:.}t..}?.rl..5?..ii::f?*-}i: t::i:**t?..1(..}j.*.i{:Ij.II;.ti:'ti::it:*')I::li*}i' MOBILE . "i ^ i !1 . i : l : 1iL ; h j***jL Vi ; 3JJ *i : " ?
CONTRACTOR= f.i WN1...±': PHONE=
YR/MAKE= 1988 MODEL= CA,`..'T•I...E::IwOOIi:.
: ' ; " s . WIDTH= i. LENGTH= r 0 HEIGHT= i
PROCESSED:SSE::T T:'Y : ,.;:I:I...VA, 1;f{±V:t:1.)
PRINTED BY :: >II...`',:A, DAVID
: }: f* :
* s ? ?x ij* ij: j** i : * ! ; * THANK f O * in: : jjjri: : ?r ?.: : * * t ? * . :* i
INFORMATION WORKSHEET
PARCEL NUMBER: ;5 3- 11 / / G Y
STREET ADDRESS:
1/ CITY/STATE/ZIP- r LL ( j / Z
SUBDIVISION: ce ' Lit
BLOCK: / I LOT: 3'4, ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: /6O DEPTH: /$ R/W:
# OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT: tz-d-
OWNER PHONE: -5 =` - - %`1
MAILING RESS: _ ��� tc. <'„Yur, G
CITY/STATE/ZIP' Zti'c,t �>, /
CONTACT: PHONE: - -
SETBACKS: - FRONT: 5L' ' LEFT: '3° 1
RIGHT: -3C1 REAR: 51
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:
Revised 1/88
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_________ DEc_-02-'20 11:01 JD:HEALTH c;FO TEL ..10:509-456-4716 14356 P01
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