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1989, 08-28 Permit AppL 89003038 Safety Inspect 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 provisionso,/mwo and ordinances governing this type of work willuovom lied with whethero cified herein or not.I understand that the issuance of this permit and any subsequen inspection approvals or Certificates of Occupancshall 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 MATE PROJECT NUMBER= 89003038 DATE= 08/28/89 PAGE= 01 APPLICATION ********************************* APPLICATION ****************************** 0'�{4 SITE STREET= 12506 E 16TH AVE PARCELt= 27542-0606 ^]� (^~ , "_^] ADDRESS= SPOKANE WA 99206 ��� l�/ PERMIT USE= CHANGE OF USE - %AFETY IN%PECTION OF ADULT HOME PLATO= 001841 PLAT NAME= OPPORTUNITY TERRACE BLOCK= 2 LOT= 3 ZONE= AG%UB DI%TO= F AREA= F/A= F WIDTH= DEPTH= R/W= 68 O OF BLDG%= t DWELLINGS= i OWNER= MITCHUM, QUINTON & CAROL PHONE= STREET= 12506 E 16TH AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= EARLENE HAIGHT PHONE NUMBER= 509 928 7399 BUILDING %ETBACK% : FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXI% ****************************** REVIEW INFORMATION ************************** DATE DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS --------------- --------------- ------ -------- COUNTY PLANNING TE USE WITHIN ZONE 89 � �_ b�) ( ( / /Y /' /, / /Y " ' " ��~'--���u ^` ��� ^ -' � = _ ' �+- / ' � ~ hope- `-��--�----- '~- ------ - - --- «~/��` ` D ./ / /�-� ******************************* BUILDING PERMIT **************************** CONTRACTOR= OWNER PHONE= NEW= REMODEL= ADDITION= CHANGE OF USE= X DWELL UNITS= OCCUP, LD= BLDG HGT= STORIES= BLDG W X D = X %Q FT= REQ PARKING= 4HANDICAP= SEWER= N HYDRANT= N PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING --------------- ------------- ------------ BUILDING PERMIT PERMIT . 00 . 0O .00 ------------- ------------ ------------- .0O .00 .00 PROCESSED BY : WENDEL, GLORIA PRINTED BY : WENDEL, GLORIA ******************************** THANK YOU ********************************* Spokane County c DEPARTMENT OF BUILDING & SAFETY A Division of Public Works l INFORMATION WORKSHEET ( - PARCEL NUMBER: -16/2 - CEOU e STREET ADDRESS: \ i 5 0 (42 L CITY/B E/ZIP: �j � ,� . . �c A,. 9 l,4. ) (4, SUBDIVISION: BLOCK: 12-- LOT: ZONE: ArsSJf3 DISTRICT: F- LOT AREA: F/A: WIDTH: II67 DEPTH: R/W: lee $ OF BUILDINGS: I $ OF DWELLINGS: 1 WATER DISTRICT: OWNER: c ti PHONE: .Scrf -.9 _- 9397 1 �' MAILING ADDRESS: 0 5 b /(P \ (,, 9g4/ ‘ CONTACT: Ls r � PHONE: 'j©% -91)5' - )13 /1 SETBACKS: - FRONT: LEFT: RIGHT: REAR: 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: t BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : REOUIRED PARKING: 4 HANDICAP: SEWER (Y/N) : HYDRANT: