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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 i]+C;+t'S !r'r T t I!lhr:Y:=7:'r.._. ••,P n7.7,rtr,i A'' t-):` 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 Lei *reei :!!:•j}::!:r f!:*:t .jr.*.ji.j{,*.IE,)t•}!.!t::?•l!.* ••**fi:!k 1t-*1i-***fir. o!i N i., c'p. ! _+_'.L!._�.��:.�.s "!::!'.:::_ i :!t:!t.!.*.jl..j}.*.tF.*.,t.:11:,;,..li•j!:.!1..{;.*.t_,.!;.,n.:ly:':.t::!'.':":'`... .. . CONTRACTOR= OWNER PHONE= NEW= REMODEL= ADDITION= ;.,;i..,. ;, OF DWELLUNITE= 11 ,.l.:U . ,,... •• BLDG i"i{:v-y-.._ 12 .. I ES- E ._!_G X D •"' 43 SQ /' CHANGE T= 645 REQ PARKING= •u'I'I rt t t d:'I+_:i••i.._.. SEWER= Y HYDRANT= .!L_,:.1 t"E!?.L L.:1"1 l._ ! i...:'•.i'!iT *•,i::'::!t':!!' 9r:fi.:y}_,.:;,f.,}{.:t...p: *..:i!:..fF r•.ii..... CONTRACTOR= OWNER RHONE= :*ar.::r.:,...y A s;.:p.•.}r.:: :*. .:.y• .t: .i/. 3i:t;::!i..i:.ii..i. i i k:i B' - - i::' :.,t:.:�.:.1.1.:.f. �'.... i+i�::�.t�: ":�• :3! &. ... ...�... !.:; r .'i -:,' •:ri..L:...t;.:;. .:t, .l:....::.:.:.:. :n.:!+:.!.:u::'!::q:.'„ riiNTRAnTOR= Ni.r•, PHONE= PRINTED ... STEVE I ,.,..... I . :,.Vi . i: t: ., .. c y .,: .3Y.„:` .. hu *) 7r . THANK - i i? 3 . APi3! u4 .: x... �:u ; .fi : c cf*k ; , y} gb*h ? • 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: d i I d i T 1C " i /". 1 — i • �BASE_l1�Ec17�.-_P4A i po.K.1 N E ,Lv �afAVF y ® V^ I l ! � � i