1989, 09-13 Permit App 89002966 Residenceaddition. I have read and understand the INS
and ordinances governing t is type
f work
Inspection approvals or ar
construction, or as a rranty o c• y+,�
SIGNATURE OF
OWNER2R AGEN
;...tit . _..'_: e i :. 1. { .. ;..• .... -
9002966
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
certify that I have examined this permit and state that the
compile said permit Is true and correct. In
EOUIREMENTS/NOTICIE prov sions Includedherein end n It and submitted by me or my ag eeent oto comply with same. All provisions of laws
-- hat the Issuance o1 this permit and any subsequent
ed with whether specified herein or not. 1 ununlaLe„� .
of be construed to give authority to violate or cancel the provisions of any state or local law regulating
visions of any state or local laws regulating construction.
APPLICATIO
DATE
aC_IEat*)C*N.Jt*•hi:G*"h:k).¥**'')!i E')!:-Rat'*-)t**•hi)'•il.•1:* Ai''I:i1_TrAT 1::1N
102 iq 'E D1R`tt-t(,t.wo 1,
SITE STREET= 'I
{'"" .... SPOKANE
., t. 9 9 2 0.
F•t ' .? Ii I..:.r ,:} .... , -' L, i 1; ;•a �,; I;:; WA r r ,.:.
I"'I:::!:.i`4l:T USE:-: RESIDENCE
DI:::N.C:E
I"' I... At i ,1::::: 002086
1_ ri --•
4 OF.. x t..r3i:rS=
+ra�at
PLAT N-11 11... ••••
i._L..T::::
F/A....
31. L t.'I I hit'i .t. . . , ....
OWNER_ i;t-.YDE HAASE
::} ;ICE::•: -" RT 10 BOX :3
(r ", E i•' !;' _.. SPOKANE
•l Np E: W 0. 99206
F•t..?:.; 't.1... of :.: _•• ,.i l L.: I'l l"t!'! 1... ir.! C"!
CONTACT NAi iE=: j.l ..�r .. 1
I... i . E:. r'IAASE:.
) t i E:"". 08/2._,(/811 IMAGE:::: 01
APPLICATION
* aC at )E ..... )C )C )E )E X )E a:). •)C )C -H- )C ai• ai.. •)(• •'r{• .j aE .. * at• *
32544
d
o'1Q toy%- .?j .; 1d /1 3Lvc
509 926 'r.rc.
'PHONE NUMBER:::: 509 926 7950
r
BUILDING SETBACKS:B11 r �' R. r .35 _E-T"30 RL I1-30REAR= NA
a**aaaaRaECa*Cp***t(Ka<**CC**H
REVIEW INFORMATION )E)t•.at•.tiaC.b:•h:hi.)t....ar....:.EaE..Nat•;Cat•at•**:*
DATE
DEPARTMENT NAME REVIEW VIEW COMMENTS IN/OUT INITIALS
BUILDING is SAFETY r : V I:EW REQUIRED 89O r` 3 Sr
BUILDING & SAFETY :T ? A : r REVIEW REQUIRED
COUNTY ENGINEER
APPROACH/FLOOD PLAIN/DRAINAGE
ENVIRONMENTAL i..r_/• .... . EW f'1.' ADDITIONAL ! WASTE
WATER p�{ ( ( n
HEALTH !"I ... I NEW t::. i'J 5.. ? L. •:..: � 1 .:.! 1 "! t'-f L.- 'v31 �-i ,y 1 ...
e 7343-
896923 v41,1;H
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS:
is/AO 0 EFL nog.
CITY/STATE/ZIP: p & kJ E Lip taSU- S -�.
SUBDIVISION: PO 0
BLOCK: t LOT: ZONE: 5r R. DISTRICT: /
LOT AREA: F/A: WIDTH: DEPTH: R/W: `Z 0
4 OF BUILDINGS:
4 OF DWELLINGS: WATER DISTRICT:
OWNER: E1LLrE
MAILING ADDRESS: )2T LC) -X 4-7
PHONE: L;3c -9 z(.4> T6 n
CITY/STATE/ZIP: Si7Q K tp �� CJ 2c L
CONTACT: a (_ _t (n .a "3,4
PHONE: 'SO 1 - 5 - fj c t
SETBACKS: - FRONT: LEFT:RIGHT: 3(1) REAR:
PERMIT USE:
k*************************************************dk*irlF*****************lr* **
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: CLYDE t1 L Z C, •
CONTRACTOR:
11,06 f-f:.>� � PHONE: so7- 9 Sc.)
MAILING ADDRESS: la ( Zd gp)( L
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: x REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: 2.4 g 4 V (WIDTH % DEPTH) SQ. FT.:
REQUIRED PARKING:
# HANDICAP: SEWER (Y/N): HYDRANT:
(s'
1
10(70 GAL,
,
TAB 11c
IC-
1
25
44}} slow(e oC P;,,st•s PAGE
Lore, Pam' Lp6 K 1, f pLA-f
2-) 3, t o aa.„,o r l 3LK. r,.
?o 3 DerL.Os /ADD r � 00
F02;
CLV De Fl AAs6 t-ONt)S as I*. INC
SEP-13-'89 08:50
ID:HEALTH SPO
IF VOL) CANNOT INSTALL THIS SYSTEM ACCORDING
TO TN15 APPROVED PI AN YOU MUST CALL THE OFFICE
RT (5C9) 456-F040 PRIOR TD INSTALLATION..
?1t i3r ate%
0:? •G, GAeetib-=�"
.R.
TEL NO,:509-45S-4716 #41E P01
SPEP,IFI TIOMS
I7Vt OF SEWAGE SYSTEM, Lrt r, (�I _
LINEAL OR SQUARE FOOTAGE:.,?bp c'e.d
TRENCH WIDTH: 34; j Q4-ex.
DEPTH FROM DFIGINbAL °ROUND SURFACE TO BOTTDM
SEWAGE SYSTEM, ',IY ;a
c(d Pirk< ✓ 4
P Fit r., DATES.'c]
Y.2
Y3 v K 1 :_!Vnr.% t v
' of
1ro'J:. S .