1988, 03-24 Permit App: 88000598 Addition SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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
!-R E.,;.:s::.E..: # NUMBER= 88000598 t,J f�6 I i::.=- 03/24/B8 Pf.a=si...•-- 01
APPLICATION
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SITE STREET=
. : . . 10506_ 16TH AVE29541 -0202
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ADDRESS== SPnK( NE WA 992:16
PERMIT USE= 4YY1 # i -iN TO RESIDENCE
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PLATO=! .EE.= 003 :2 PLAT NAME= CHESTER ER HILLSL:.r A.3..1D..
BLOCK= 2 LOT=T•= :.' :'ONI::. AGSUB DIET4= F.
I AREA= 00000000 : : _ E WIDTH= 1 r0 DEPTH= 205 R/:= 50
OWNER= COLLINS, ROBERT D PHONE:- 509 .:..••Y 7856
STREET= .10506 F. 16TH AVE
ADDRESS= SPOKANE `,,if•"•1 99206
CONTAC
PHONE NUMBER=
BUILDING SETBACKS : 70 LI "• i . 22. r
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INFORMATION WORKSHEET
PARCEL NUMBER: ��-
STREET ADDRESS:
CITY/STATE/ZIP: r77?((--) (,)a c7 ( �
SUBDIVISION: :- 6.,
BLOCK: It LOT: ZONE:fi'Ct!U7 DISTRICT:
LOT AREA: F/A: WIDTH: t qDEPTH: 2)'( R/W: C
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: oc✓r ñ.. (17r) //, PHONE: \-37'72 -
MAILING ADDRESS: /("�`�-nc/
Cl /STATE/ZIP: //A7? (' /-' 0 6,
CONTACT: J A r 1rt! / (1-0 / 7, 17 PHONE:
SETBACKS: - FRONT: -7C) LEFT: '22 RIGHT: REAR:
PERMIT USE: -DcIT c.'
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: C-u r- t�<< PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS: /
NEW: REMODEL: ADDITION: N/ CHANGE OF USE:
DWELL UNITS: V OCCUPANT LOAD: BUILDING HGT: 12_ STORIES: 1
BUILDING DIMENSIONS: 2-0 X di l• (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: