1985, 08-07 Permit: 00006729 Duplex W/GarageSIGNATURE OF
OWNER OR AGENT
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10002 E AUGUSTA AV
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SERESUN, KEN
ADDRESS:
10002 E AUGUSTA AV
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SPOKANE WA 99206-0000
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SERESUN/ KEN
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KENNETH A SERESUN
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RT 1 HWY 174
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99133-00O0
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509-633-2355 SERSUBS177NH
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085440367
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0999
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0D2544
LOT & BLOCK
004 310
FINAL
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OPPORTUNITY
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PLANS
fl.-C,6
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01+002 DUPLEX W/ GARAGE
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10002 E AUGUSTA AV
STRUCTURE
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APPLICATION �F )v--- �_^\
DATE `^ � ~
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0007274
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08/07/85
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00006729
Structure Fee $448.00
DIFF. FEES & AMT DUE $16.50
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464,50
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COUNTER
PLANS
fl.-C,6
DATE:
08/07/85
PERMIT
STRUCTURE •
Description N DWELL Group R-3 Type VN
Square feet 002200 Occupancy Load 0000
Description N PRI CAR WE Group M-1 Type VN
Square feet 000676 Occupancy Load 0000
EST Pin Chk $0.00 Actual Pin Chk $0.00 Var $0.00
Energy Study Surcharge Fee $15.00
Building Code Surcharge Fee $1.50
TOTAL FEES $448.00
OFFICE COPY
OR-87-85 40105 *864506
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S|GN4T /REOF APPLICATION
OWNER OR AGENT '/v e~ � y .�' ��^�-���� /° ��+� _, DATE
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CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
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CITY: ", ZIP:
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,(77NH
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USE OF PERMIT: ,"= '^."= CA "" ", NC
64 . 50
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S T R U C T U R E P /E M I T
RUCTURE TOTAL FEE'`
Description N DWELL Group R-3 Type VN
Sqoare feet 002200 Occupancy Load 0000
Description N PRI CAR WF Croo M-1 Type Vr
Square feet 000676 Occnpanc.y Load 0000
.st Pln Chk $0 . 00 Actual Pln Chk $0 . 00 Var $0 . 00
Ilergy Study Surcharge Fee $15 . 00
ilding Code Surcharge Fee $1 , 50
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Loti
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1 SET BACKS
2 FTGS& FORMS 1
3 STEEL
4 PROGRESS
5 BOND BEAMS
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6 ROOF DECK
7 FRAMING C—HI_ SPECIAL INN _ I �� 0
�9 SPECfAtINSP. Mill
'10 ASSEMBLY _� C)
I11 FIREPLACE _.�__ _
12 EXTERIOR FI JISH MEMII=1111
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13 DRYWALL — 11..1 __
14 EXT. GRADING t j
15 FINAL /El' --_1j
1 16 GRD. PLBG.
17 WATER PIPING I
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18 DWV TEST —_
19 FIXTURES
20 SEWAGE DISP
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21 SEWER
22 _l—?TER HEATER Cu
23•. 3-G R ESS G7
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24 WATER SERVICE
25 ROOF-DRAIN:,
26 FINAL i_._._
38 VENTILATION SYS, 11111111=1111. .
39 PLENUM& DUCT I I i 1
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0 GAS TEST
FURNACE _ - �.
DAMPERS _
I EMI
4 _ W ���
3 INLET/OUTLET I n
COMPBUSTION AIR � - i
y COMPRESSOR z
`i APPLIANCE _ n
FIRE DAMPER `.._.-- I >
SMOKi DETECTOR I I r
HOODS
PROGRESS f•
FINAL
FINAL INSP.
FIRE PREVENT O
OCC U PANCY/T EMP.
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RECU ND
OCCUPANCl/ iJAL _ M
1 I OCCUPANCY/OTHER m
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APLAINT;BLDG. D
:JIPLAINT/CJTHER
•
_ _ - (THIS IS NOT PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Project Number
Owner's Name LAST FIRST MI
Project Address(Street Name&Number) Zip
z4.5 riQ A-vE- e /0O02- - b ` . , , (-1--d2f/
Applicant Address
I<e.:...---: ,STR i T" I
Cityr St to Zip Phone
C.vulee., �.l ash
9C1 I : Z (4i) !r_33 - 23.r
Business Phone 4 �y
( ) �.�.J/1rK._..
Contractor) gent Address
City., - State Zi _ Phone
El is i-f (1)LA , e U3, k ,, ( ",j, ;3'3 - 2'Fg
Cc�tact License Number(Required) Business Phone
�..=et.s L .b i 1`1 N ( ) Sa i c..
Architect/Engineer Address
City State I Zip Phone
I _ ( )
Contact Business Phone
( )
Lender Address
1 00 City I State Zip Phone
I ( ■
Describe Work Res. Comm.
N �"�f""` ` -+f °1° -- — CO-10=-14 p404- f a t E 4
'J Subdivlsiont-Rat Name/Short Plat Number
Assessor Parcel Number Lot Block Plat Number
die
,z Pertinent File Numbers Zone,,d ., L.a Comp.Plan Census Tract
r.Nl! Number of Dwelling Units Number of Buildings Lot Size(Sq.Ft./Acre)- - Depth Frontage
/ if ice,
0 Front Setback,,,,2,, ( Left Setback Right Setback Rear Setback
Q Additional Information Square Footage
C i— ' ,, < rr1 w = i 1...w., '?C 2—
CA
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Building Technician Date
7 / Group Type
L
DEPARTMENTAL REVIEW
Cond.
Approved Approval Hold
Environmental Health Permit Number O gS'7" Cs0 pr'�C 7" / f '
W. 1101 College �
Room 200 1�.1 .trite/ /2(44/k.13 fl `a`�8
Planning/Zoning
❑ N.721 Jefferson
Engineers Permit Number —i . - _ //-j8-Z.-
❑ N.811 Jefferson
•
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Utilities
❑ N.811 Jefferson
Plan Review/Fire Prevention 7,30 46-
❑ N.811 Jefferson Fee'i
Other(SEPA/Critical Material/etc.)
El
❑ Fast Track/Special Inspection Information
Project Representative Phone
Address
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 Date —
6
Show on Site Plan:
Lot Dimensions
Existing Structures
Proposed Improvements
StructureSetbacks
Easements
Septic System (s)
Water Lines
Sewer Lines
Fences, Wells
Driveway(s)
Right of Way Width(s)
Names of
Fronting Street
Flanking Street
Additional Information:
Landscaping
Drainage Plan
Hydrants
Topography
Lighting
Signage
Shorelines
Highwater Mark
Legal Description
Scale:
Date:
Revisions. Attachments:
1 t
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I I I
I