1987, 07-13 Permit App: 87002157 ResidenceSPOKANE 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, 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
PROJECT NUMBER= 87002157
DATE= 07/13/87 PAGF= 01l
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SITE STREET= U rli�s/¢ 1 `(1i':t:I L_w:::: :3'.:...: 41 i t:;1 1 F'` i ��ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE
DE::NCE.
PLATO= 00024 PLAT NAME= PONDEROSA 4TH ADD REPL AT
BLOCK= 1 LOT= 6 ZONE= ,`.S1=R DIST.;;:::= 6 .V
AREA= 00000000 F/A=: F WIDTH== DEPTH= R!W�:
OWNER= KOS•TE::L..EC:KY BUILDERS PHONE= 509 466 003
STREET= 12024 N HEMLOCK ST
ADDRESS= SPOKANE WA 9908
CONTACT NAME= JERRY r::(:iSTE::L-E::CK'Y' PHONE NUMBER= `:;0`:;....46r<,....f: 81:
BUILDING S E T B r � C K : FRONT= 5 LEFT= ::= 0 RIGHT= REAR= 3 r;
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REVIEW INFORMATION �:xtt�x�:xuh�:}c}:u:u:a�u.�•��.x•tt��m:�:xu
DATE
DEPARTMENT 'TMEN•T NAME:: REVIEW COMMENTS IN/OUT INITIALS
Atii:LLD:LNG & SAFETY PLAN RE `..1ENA REQUIRED 870713 GM!:i
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COUNTY
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ENVIRONMENTAL I-IE:faLTH NEW OR ADDITIONAL L WAS..E WATER 87-71A
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CONTRACTOR= KI..i S..l EL..E:.i.:K •f BUILDERS
STREET= iii N LINCOLN RD
ADDRESS= SPOKANE WA 99208
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