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1987, 10-01 Permit App: 87003280 Residence
SPOKANE COUNTY DEPARTMEi T 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, 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:; :' 't i. 1111 . +_ ;•} :. - :: " .. ..._ .1 }:_} :. 1::: l:. i' r 1. 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N.}{}. j......+.}. }.9.-K 1t (t.i 1..1 i. e.. }.1 *x*x�-xxxxxxxtxxxxxxxxxxxxxxxxxxxx**xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx * INFORMATION WORKSHEET xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx * PARCEL NUMBER: x * STREET ADDRESS: ©�� * CITY/STATE/ZIP: i/t'u--�- x x * SUBDIVISION: �� U ( e> c7S x * BLOCK:_ LOT:_ ZONE: DISTRICT: x x * LOT AREA: F/A: WIDTH:(Poo DEPTH: 571 x R/W: (90 * # OF BUILDINGS: # OF DWELLINGS: x x * OWNER: 16A C`C: s I , PHONE : - � 3- c 6O% * MAILING ADDRESS: x C * CITY/STATE/ZIP:- ITY/STATE/ZIP:CONTACT: x CONTACT:_A:5)g, V / / �S L� Z -L_ PHONE: - ao * SETBACKS - FRONT- LEFT: CQ RIGHT: REAR: * * * PERMIT USE: ry �- x x *xxxxxxxxxxitxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx * BUILDING INFORMATION x * x * CONTRACTOR LICENSE NO _ : I/ � cw * x x * CONTRACTOR: b-�3 PHONE: - - x * * MAILING ADDRESS: x * * ARCHITECT/ENGINEER: PHONE: - - * * MAILING ADDRESS: * 1 * NW' -A_ REMODEL: ADDITION: CHANGE OF USE: * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. x * *REGUIRED PARKING: # HANDICAP: SEWER:(Y/N): HYDRANT: OCT -02-187 09:50 ID:HEALTH SPO (/Do. MoD, W, ac TEL NO:509-456-47: #775 P01 Y za' a.! q�a3-8� 7 l —