1985, 12-27 Permit: 00009242 ResidenceS|GNATUREOF
OWNER ORAGENT.
STRUCTURAL
Boilding Code Fee
Energy S�odies Surcharge
BUILDINC
Valuation; Corr 39480
# of Floors 01 # of Bedrooms
PRIMARY STRUCTURE:
es i N DWELL Group; R-3
Sg-FI 0 co�ancy Load
SE[ONDARY TRUCTURLS�
Desc: N DWELLUB Croop/ R-3
Sq-FT 940 Occupancy Load
APPL|CATON
DATE
0010161
12/27/85 I-ThO9242
BUILDING $276.06
Building Code Fee $1150
Energy Studies Surcharge $15,00
ADORN 9:
Cwy ST: zip:
SPdKANE WA 99216
12171 E SPRAGUE:
AV
SPOKANE: WA 99216,
PH
LIC NS
COUNTER
PL,1"S 11A-:
DATE:
PLAT NAME:
01+001 RESIDENCE:
USE OF PERMIT:
nB67R SS
STRUCTURAL
Boilding Code Fee
Energy S�odies Surcharge
BUILDINC
Valuation; Corr 39480
# of Floors 01 # of Bedrooms
PRIMARY STRUCTURE:
es i N DWELL Group; R-3
Sg-FI 0 co�ancy Load
SE[ONDARY TRUCTURLS�
Desc: N DWELLUB Croop/ R-3
Sq-FT 940 Occupancy Load
APPL|CATON
DATE
0010161
12/27/85 I-ThO9242
BUILDING $276.06
Building Code Fee $1150
Energy Studies Surcharge $15,00
COUNTER
PL,1"S 11A-:
DATE:
TOTAL FEE
TOTAL FEE
TOTAL FEE
Permit Fee
000 # of Rooms 000
Tygei VN
�ate 35.50
Type; VN
Rate 6.50
$1.50
$15.00
$276.00
276.00
12; - 2`7;-~5 yn7l25 *7Y^
CL
SIGNATURE OF
OWNER OR AGENT
JOB ADDRESS:
OWNER:
ADDRESS:
CITY:
ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY:
ST: ZIP:
PH:
LICENSE#:
ARCH /ENGINEER:
ADDRESS:
CITY:
ST: ZIP:
PARCEL #:
CENSUS TR:
INSPECTOR:
PLAT #:
LOT & BLOCK
FINAL
PLAT NAME:
ZONE #: ZONE
FSB
S-9
S-2
RSB
MOD
USE OF PERMIT:
JOB``A DDR E55:
/
APPLICATION
DATE
SEO. #: DATE: PROD *:
FEES: PAID BV: CA CK CG NC
COUNTER APP: PLANS EXAM: DATE:
STR UC;TUR N..
Buildi.n Code Fee
Energy �tud:i,es Surcharge
BUILDING
Valuation: Curr 39480
0 bf Floors 01 # of Bedrooms 000 # of Rooms 001;
PRIMARY STRUCTURE:
Desc.: N DWELL Gr o u . : R-3 Typ e : VN
S __F't 9 40 Occu ancy oad Rate 35.50
SEIONDARY STRUCTURES:
Des:sc.: N DWE_L..L..UB Gr o u . : R -:3 'T� yp e : VN
::3q -Ft 940 Occupancy �oad Efate 6I50
-a
y -ro1�v
TUTAL F0.
T'O'TAL F•EI
TOTAL.. F'E::i
Permit Tee
r
a
O
U
O
H
U
w
d
U
z
_ -SET –SET BACKS
. .__._
- -. -.-
2 F t GS & FORMS
PROGRESS
5 BOND BEAMS
�_`•
_.__��
6 ROOF DECK
_
7 FRAMING
/4
c:
SPECIAL HNSP
110 ASSEMBLY
G
—
' -- -1,/- REPLACE--- _.._.__ -_____
1�
1f 2 EXTER10R FI�NI SH
13 DRYWALL
14 EXT. GRADING
15 FINAL
1� 6 G R D. PLBG.
-
117 lNATER PIPING
18 DWV TEST
19 FIXTURES^
–
26 SEWAGE DISP
q
SEWER
i�
22 /-�4ATER HEATER
2S C#GRESS
G)
24 WATER SERVICE __
25 ROOF DRAlNlS
26 FINAL
38 VENTI LATI ON g
39 PLENUM & DUCT
_
_
40 GAS TEST
!
41 FURNACE
42 DAMPERS
43 IN i LET_
44 COMPBUSTION AIR
_
45 COMPRESSOR
46 APPLIANCE
>
47 FIRE DAMPER-- __.____ --
48 SMOKE DETEC 'T OR
;
A
49 HOODS
50 PROGRESS_
51 FINAL
52 FINAL INSP.
53 FIRE PREVENT
0
54 OCCUPANCY/TEMP.
55 REQUESTED - _ --
i
ev
_ _
_
56 OCCUPANCY /FINAL
�_- -
--
- --
57 OCCUPANCY /Ol HER-
58 COMPLAINT /ZONEm
59 "- ')MPLAINT /BLDG.
- -- -
c�
r
60- . UOMPLAINT /OTHER-
COMMENTS:
7
El
C
DEPARTMENTAL REVIEW
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signature __ _ _ c Date //
Approved
Cond.
Approval
Hold
Environmental Health Permit Number
W. 1101 College
Room 200
Planning /Zoning
l N. 721 Jefferson
Permit Number <.
Engineers, 811 Jefferson 4 '
g
Utilities
N. 811 Jefferson
Plan Review/ Fire Prevention
N. 811 Jefferson
Other (SEPA /Critical Material /etc.)
Fast Track /Special inspection Information
Project Representative
Phone
t Addf 66S '
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signature __ _ _ c Date //
102
o ;
of
{ l H U
ru"' U ij L ru" E RV S- C 0 P Y
J �
C
ADDRESS Z7
LEGAL DES. e 62 -7f-u 17 �-+
- APPLICANT TUPPER INC.
Al
STYLE 94 - elevation B d47et
POWER
WATER
SCALE 1 " =20'
�d M)"fl•S?s _ JOB # 8 "/
.�. O 7 i FHA CASE
all
r
IAOWI C ;ATE
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