1987, 07-08 Permit App: 87002065 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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, "we 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
PROJECT NUMBER= 8700206!�-;
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APPLICATION
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SITE STREET= 12606 E 21ST AVE PARCELO= 27542-2464
A1)DRE:..:s,a= SPOKANE WA 99206
PERMIT USE= RESIDENCE ADDITION
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UDWELLINGS=
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OWNER=
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PHONE=
50 9 928 2630
STREET=
12606 E 21ST
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ADDRESS=
SPOKANE WA 99206
CONTACT 1if"{ISE:.=
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NUMBER= 509-928-2630
BUILDING SETBACKS:
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D A T
DEPARTMENT NAME REVIEW COMMENTS .I.N%(•JU..t INITIALS
BU:EI...DING & SAFETY I''I...r:'N REVIEW REQUIRED r3"r(:}" 0163 (:;GM
ENVIRONMENTAL M:::NTAL HE::AI...TH INCREASE IN L.►•T COVERAGE 8707(0B r_ P
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CONTRACTOR= UNKNOWN
STREET= UNKNI iWN
ADDRESS= UNKNOWN WA UNKNOWN
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