1989, 04-13 Permit App: 89000840 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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APPLICATI
!1:* :t 9%h• '*ii• •#*n *,}{**n lF**#*n:.:•R-**le.F'** APPLICATION i..,,.i+.k.jt.**.jl.**.,.. ..j;.*h;tr ii***-:L* :o-• ::* :k:•
SITE STREET= 1 :41 : 16TH FrAhC_ Lv- 26532-0111
ADDRESS= SPOKANE para 99203
PERMIT USE= ADDITION
CL = ` A- 001124
eii " 4 ( -FTNAME= JfFo 1i a 5-ACRE T R A i::T_;
BLOCK= LOT= ZONE= AG DIETt=
AREA= 00000001 01 F/A= (:. WIDTH= DEPTH= /,,....
R DWELLINGS=
CIWNOWNER= HOWARD Er1ER•z- PHONE= 509 .. _.
STREET= 1202 ,- LACEY ST
ADDRESS= SPOKANE 99202
CONTACT NAME- t...ML..RY HOWARD PHONE NUMDER= 509 535
BUILDING SETBACKS : FRONT= 50 LEFT::: E::::E RIGHT= 2(')!? REAR= . }s L._._.
1 *uA*1i u b# j :ith*j *Pfi : 1Fl: 3Y: 'i REVIEW I N^t .A p} o. *iftihPuAAkUhthj ! A { :P ! k 1C
DATE
DEPARTMENT NAME REVIEW COMMENTS' IN/OUT INITIALS
BUILDING :• SAFETY PLAN REVIEW REQUIRED F• i E• ..................__- ....___......................
390417
BUILDING & EAFETY EETBACK REVIEW REQUIRED 290417 ZDH
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CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= ;.,;i..,.
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DWELLUNITE= 11 ,.l.:U . ,,... •• BLDG i"i{:v-y-.._ 12 .. I
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CHANGE
T= 645
REQ PARKING= •u'I'I rt t t d:'I+_:i••i.._.. SEWER= Y HYDRANT=
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CONTRACTOR= OWNER RHONE=
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riiNTRAnTOR= Ni.r•, PHONE=
PRINTED ... STEVE I ,.,..... I .
:,.Vi . i: t: ., .. c y .,: .3Y.„:` .. hu *) 7r . THANK - i i? 3 . APi3! u4 .: x...
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INFORMATION WORKSHEET
PARCEL NUMBER: d('o j 3 a^
STREET ADDRESS: ( 3 Q / / 2r-4
CITY/STATE/ZIP: -)l ijc s
SUBDIVISION: 92/7S F/ C. ;��� ; ��� c ''s-
BLOCK: LOT: ZONE: Pg_. DISTRICT: 0
LOT AREA: / F/A: /) WIDTH: DEPTH: R/W: ( a j
# OF BUILDINGS: # OF DWELLINGS: I WATER DISTRICT:
OWNER: 6;I,t( a ')^ r- )1,1 PHONE:
-3" - di 2 d
MAILING ADDRESS: /d2 6 S /
CITY/STATE/ZIP: ,g790 A 427)1 I) a S A / 9 2_6
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: fi /)!�/%%(,)-" 13 m
****************************************************************************
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 4/2 (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : \ HYDRANT:
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