1989, 08-14 Permit App: 89002803 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 LATE
PROJECT NUMBER= 89002803 DATE= 08/14/89 PAGE= 01
APPLICATION
************sae****************** APPLICATION ************************•**•***3
SITE STREET= 12507 E 15TH AVE PARCEL4=• 22543-1242
ADDRESS= SPOKANE WA 9921 6
PERMIT USE= RESIDENCE ADDITION
PLAT;= 001 345 PLAT NAME= JORGENS ADD
BLOCK= 2 LOT= 19 ZONE= AGSUB DIST O= F"
AREA=: 00000000 F-/A • F WIDTH= 70 DEPTH= 137 FS/W
OF BLDGS=• t DWELLINGS= 1
OWNER= RUSSELL, ROBERT 0 PHONE= 509 927 0878
STREET= 12507 E 15TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= BOB OR DONNA PHONE: NUMBER= 509 927 0878
BUILDING SETBACKS : FRONT= EXIS LEFT= 6 RIGHT= EXIS REAR-: 25
j. ********* .****•3** •***** **** REVIEW INFORMATION **** x• !•acx•*********x •*x*x**
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
BUILDING & SAFETY PLAN REVIEW REQUIRED 890814 JAS
BUILDING & SAFETY SETBACK REVIEW REQUIRED 890814 JAS
As... PeR.._.s+Ta pts.__.......... 049
BUILDING & SAFETY ENERGY
PLAN RREEVIEWrnR'E( UIRED 8901314 JAS
ENVIRONMENTAL HEALTH INC ''E(SE IN LOT COVERAGE, 89081.4 J
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