1988, 09-01 Permit App: 88002610 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�moano correct./
n
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and to com / ith same.All provisions of laws
and ordinances governing this ty /work willoovvm lied with whetherx m d herein or not.I understand that the issuance of this permit and anysubseguent
inspection approvals or Certificates of Ov u 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 nATs
F'ROJECT NUMBER=' 88OO26i O
";"1,
APPLICATION
********************************* APPLICATION ******************************
%ITE %TREET= i2iii E 22ND AVE ARCEL�= 2854i —O722
ADDRE%%= %POKANE WA 992O6
PERMIT U%E= %UN ROOM ADDITION
PLAT�= OOi22i PLAT NAME= HILLCRE%T PARK i %T ADD.
BLOCK= 7 LOT= 22 ZONE= A�%UB DI%T�= F
AREA= OOOOOOOO F/A= F WIDTH= 95 DEPTH= i58 R/W= 58
:!!: OF BLD0%= i � DWELLINC;
%=
OWKER= FRUCf.Cf:
I ' JOHN PHONE�
%TRE[T= i2i11 E 22ND AVE
ADDR[%%= %POKANE WA 992O6
CONTACT �AME= � L MOMB PHONE NUMDER= 5O9 255 6773
BUILDIN� JETBACK% � FRONT= NA LEFT= i8 RI�HT= 25+ REAR= 76
****************************** REVIEW INFORMATION **************************
DATE
DEPARTMENT NAME REVIE� COMMENT% IN/OUT INITIAL%
--------------- -------------- ----- -------
UILDfl:N0 & %AFETY /ea
-P)
------------------------ _ --- ---
------------ -- - -
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ENVIRONMENTAL ���LTH INCREA%E IN LOT COVERA�E 88O90 { DM%
------- -- ------ ---
-----------------�-- ---------- _.---- -- -
CONTRACTOR= OWN[R PHONE=
NEW= EMODEL= ADDITION= X COF U%E=
�WELL UNIT%= OCCUP. LD= BLD� H�T= i4 %TORIEJ= i
REQ P��KIN�= �HANDICAP= %EWER= N HYDRANT= N
PRCCELVA , DAVID
PRINTED BY � %ILVA , DAVID
O03 P01
I
TEL SEP-01—'88 10:26 ID:HEALTH 9P0 NO:509-456-4716
TAII:Tgpupp911:4 wii009) AND SAFETY—SPO TEL No:singn4T #124
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APPLICATION
**0.40ft*X0**uM404(44(poOK4*xlig**441** APrLICATION mY*00400**4,kw.xxx4i4cOviltiNk-kffotolkit*
SJIE STREETN i2111 $' 22ND AVE PAROEL4 20'2)41 ,0722
Ai ' SPOKANE WA 99206
PERMIT U$Ec ZC.1.1N ROOM ADDITION
PLAI*J. 00122i PLAT NAME' PARC ADD.
BLOWN 7 LOTc 22 ioNa- AGSUD DIST4—
AREAN 00000000 F/A! F WIDTWJ 95 DEP1Hri 150 R/Wa. 50
t or ZILDCSR i GS4
OWNLRe. I kunw , Joim
STREI1— 12111 2WN1) AVE
ADDRESSN SPOKANA WA 99206
CONTACT NAMIN G L MIM D NONE NOmUEW%, 509 255 6773
8UTI,DINC 17ETDACKg FRONILt NA LEFTa 10 kIGM. 25+ NEARN 76
$(44010**K***04fieukk**600***gxf*VN0 REVIEW WORM6/ 10N uo'Nkkiiiox**1.:44,m000k*gwitilmok
DATE
DEPARTMENT NAMF LOMMLNTS TWOUT
' MOLDING & PAP1TY PLAN REVIEW kceumrD 000Yi:)i DMS
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ENVIRONMENTAL IL AL)H INCNLAH .):!M 101 COVERAGE ee/1901 DM
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4gm#0(16004tg/(x6100000X, M100**4k)NX DUUDING rfltmll
CONTROCIORN OWNER POONEd.
NEW., WiMODEL4, ADDITIONv X CHANr,r OF UNE—
,
WELL UNITS . I LLD(. HIT14 rfOkasm 1
DLDOWXDr 2' X 20 SQ rT- 400
REQ PARK1Nfm ONANDICAP- sEwrk- N N
PROCESSED
iv: SILVA, DAVID
PRINTED BY: SYIVA, DAVID
krk4tk**11,410)04144c4(K0444*0*****0m0i4to*it THANK YOU 414(U1+0.0wov'44(mxh4"KM"""4"
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