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1989, 09-22 Permit App: 89003559 Residence
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I 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 agreeto 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 OWNER OR AGENT p' :,r::,!�.,(,{ ,:•.,,,11.,1...",... ..:f t.. .):;i*q:.)c.): ',ti*is £?£.,(.)£a£`: ,•„-. .: STREET- '8 FR RD )MESS= isREEN.;ACR_FS LIA 99016 FEM. USE= RESIDENCE Wir APPLICATION DATE APPLICATION FDL..IC:(T'.UN i£.)£.x;: PARCEL4= of F I... it :g::_: 00.;.654. PLAT Nr,N1f..:::: :IMP8( r-'. '3R,;DD BLOCK= ,LOIc 4 .:...,.._.. `'•F{E.p,.:.)Vo;::) F/(= i WIL;iiir ;:: DEPTH,. 132 P:!:'1ti::: 60 m k.!; i_IL...(.1(.r:i= v: I11;J1.:L_?,_1:i''lhS:: ry OWNER= ,Ii'iPSC i , JEFF ZTREET= '5508 AMS I :..D1YC::f5:C=. 1NCI-: 0if v9037 ,_.r.yN..t' 1,..11. NAME= JEFF t,:,;-1" ;::!.; I L.DING ::E: TI. l.. r_i<S:: FRONT= :'40 L..fii:f..T:.:: 16 F<1'(:.H'f'::: 10 F:I::.A1 PHONE NO• '466n ) .A. x :t. L r .1(. ( f V: (. ,.i 1 .O F:: A "(. n,x'.id@i,::i?;$id£9,:.:nc;t:{. i, d: X: i�: ;:: v:: i(x�)i ). h"�:: xi ,].. ..:_•.. ... i'.....i'r„..:.,N *i:?E)i-)t*r:iE?Eitx},^: )i :*I: y: *KT DATE L 'C'Li ::r :cTU.l.. :OF]- f<TMENT N1"1iif SAFETYBUILDING :3, REVIEW COMMENTS PLAN REVIEW F:Ei.111'C}:I:_". ( PEvIEU REQUIRED BU.L1..DIN[; SAFETY ENERGY PLAN REVIEW r:_QUIRED COUNT .1too, 5a aAPP I- 1 CAR LS Avs ........... 8905'22 ..JI" e 75.81 : 9 922 JA r)022 JAS £. ifif:Ar L:•I:'RCIA:.Fi!::I f3f)1_l PL.ASNY I:f:111: i:',::r:;:, 8-.0r::22 SNA.._._.,-yaF......._._..9-a.?-SA ,,:1...4J ...:r ADDITIONAL i::4'',:`.:TE a.,1`:P Pc10922 q.2 :y Fs_ TAfais Rr-TuE iJeD x//2&/0 PARCEL NUMBER: INFORMATION WORKSHEET o155LI-270'4... STREET ADDRESS: CITY/STATE/ZIP: &WWI 3.CJ2-15 WOO) Q90 SUBDIVISION: p10±csIv-v—\ /c. BLOCK: l LOT: `l LOT AREA: # OF BUILDINGS: OWNER: F/A: I 4 D &f q'c'v)2LcLC5 ZONE: DISTRICT: WIDTH: 5I' n DEPTH: SC) "R R/W: # OF DWELLINGS: WATER DISTRICT: CciosoIJcLi (-4 S I rips N -n PHONE: £O`i -qZq - Ce1-7 MAILING ADDRESS: S SOS A RD, CITY/STATE/ZIP: Dag acaA was) -1 C7^ -1o3`7 CONTACT: J c1. Y 1 Irv -.IDS 04� PHONE : `JCfc - 92-4- C Ct'1 I' SETBACKS: - FRONT: 30 LEFT: 1 /r d RIGHT: (SO r( REAR: 60C-0 PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: 4„5u- G3c. T 53 CONTRACTOR: (-( c C0nS-I-. tic PHONE: S09 -466 - (07 (9 MAILING ADDRESS: Al 890Z. r RID t_.LY)Cf Lo:61 g92C7 ARCHITECT/ENGINEER: 3 D PHONE: S15 - 283 - 040'4 MAILING ADDRESS: I C f _111 3 AUCCuLas P(Dinos f0W/J S63 12, NEW: X REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: a OCCUPANT LOAD: BUILDING HGT: Z()' STORIES: 1 BUILDING DIMENSIONS: Sl -5 x yO REQUIRED PARKING: (WIDTH X DEPTH) SQ. FT.: /ZS3 # HANDICAP: SEWER (Y/N): HYDRANT: JOB STREET ADDRESS: PLUMBING PERMIT APPLICATION FORM Information Worksheet /1/ /86 fkr-tQr Wo CITY/STATE/ZIP: (TO[f) 16CQK- L.Da;k671DICPARcEL NUMBER: 07S6' -I ^%%Dpq OWNER: J f Q \rC S 1 N FS U ---N I PHONE NUMBER: ( 509 ) Q2q - (8c -7 MAILING ADDRESS: S. 3 ,O% A V1A3 fl. O(c1cla-l¢ �. gclan (Street) (City/State) (Zip) CONTRACTOR:4)5)rEvalCAMS.1. LICENSE NUMBER: ��6\/A- (xrC T X53 PS L PHONE NUMBER: `7f b (0` ��] (p 9.) MAILING ADDRESS: %y 8907- C;rkar • 99261 (Street) City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION NUMBER OF FIXTURES X EACH FIXTURE = AMOUNT TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN 1 2- O -8- x $6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 x 6.00 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675 SEF -29-'89 ©8:11, ID:HEHLTH SPO TEL4,N0:5009-456-47f16 #5188 P01 SSP -26-'09 14147 ID:HEALTH SPO V TELA diVelll245e-Vei4bl' csAtriir SZ:=1 a 41):t"*" Y 1 7 eri r7� •4 D tlYtT ' PLAN, YOU THIS CALL THE OPE108 14040 PRIOR TO £NB?ALIA'ION. • SPEWS TIONt row IOQT4 1 AL ONO 11D SURFACE10 Ur Prep AL, cka to /O'�o ✓.tOad f� /o' 4•tfl% y� - LMw :594 ..tom Qa.cJa r mI rel Jim 1. !/ "12;10c A • i , St Si 1 (7/ --)0/ a /7 PA ScLA „tD-.Q1 J° 0 &to C> 0 1 1 I '00 , ! 1 1 I ( i i i ii , 1 1 i i , I 1 , i 1 11 i 1 , 1 1 1 I 1 1 1 1 • - I4.