1987, 04-27 Permit App: 87001126 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
DATE:::: 04/27/87 PAGE.... 01
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SITE S (F/?..I::T- 2807 !' S BOLIVAR 1+.D PARCELO= x..c`r» '{ .:}.... 0Jt. P I f
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ADDRESS=. SPOKANE: WA 9037
PERMIT I ±J I' RESIDENCE W!_zs"1RAi_zr
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AREA= i ;i Fel !; j j !ti ! i� 3 F�.F E� i=• / t.:i :::. •- WIDTH= 85 DEPTH= i25 1-:' ! (.,_ 50
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•{.• I ! �:' .ii? i... ;. i_z C: _.. � —• "!!• DWELLINGS= !
OWNER= W: R.:,.. 1«'}::?vii..!'-..•?"!:t ; E+:} a INC,
STREET= PJ)., BOX 14024
ADDRESS= SPOKANE f::il' E WJiA{ 992i4
PHONE= 509 922 0782
CONTACT 4"1.BILL w ! -NUMBER= 509-922-0782
BUILDING SETBACKS: FRONT= 0 LEfri= 28 RIGHT=5 3»,':....s.... !:4
.{{. * b:.}t. .j{, :,{..{{, q{. * •}C * )t a :!. ;F. j•. p, ?.:F.:F. 3•.:F. h.:F. 7t i!. !{ ;, jE. ;n' REVIEW .€. i vi . ._... !'i r.:? ° .i.., S i *.jr. ,{r..;{: ,{t..;f. 9{.:,p q{: "{::q' it .n. ''•{::{{: 3;•• •a •.;• ":'i iF:. ,{!r ie:.{j.:{j.:{{:: .
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DEPARTMENT NAME
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BUILDING & SAFETY
REVIEW ,irE1T; IN/OUT I ri .I. i .E. A ... ,..
PLAN REVIEW REQUIRED
COUNTY
ENGINEER NEW COUNTY ROAD APPROACH
!-1i..:..
--------
870427 GMW
870427 GMW
2P.07
ENVIRONMENTAL "4LI_NEW OR •i r{4 'xi t : WATER 8704 J
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APR -29-'37 13:33 IL:D:HEALTH SPO
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TEL HO: 509-45E-4716
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DOUBLE PLUMBING
USE 4" PVC PIPE ASTM D•3O34 SDR35
OR ASTM F7894101
REFERENCE CAPD ENDS AND CLEANOtIi
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******************************************************************************
* INFORMATION WORKSHEET *
******************************************************************************
* *
* PARCEL NUMBER: 2G 4-3 - OC 3 Pr()
*
* STREET ADDRESS: ;Q. V 67 �-6 ge Li V14 -A-
* *
* CITY/STATE/ZIP: VEItfriOn (,k- f L� 4Cg57oS 7 *
* *
* SUBDIVISION: g l%Et'L&t EP ) A ! /7 *
*
* BLOCK: .2-- LOT: / ZONE: DISTRICT: *
* *
* LOT AREA: F/A: WIDTH: c„ ` DEPTH: /2.J`�R/W: *
* # OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT:
*
* OWNER: W , 2. _ g f1-s�oCs / 4 /NC-- L PHONE: - - a•? e L- *
*
* MAILING ADDRESS: //} Jh lvorf-t)f *
* *
* CITY/STATE/ZIP: /4.t,,rIL ithW e9N (r *
* CONTACT: /17 PHONE: *
* SETBACKS: - FRONT: "20, LEFT: RIGHT: /J' REAR:4-Y
*
*
* PERMIT USE: TeMtVeLVE 2) j� jt
* *
******************************************************************************
* BUILDING INFORMATION
* CONTRACTOR LICENSE NUMBER: W/ZAL_ioZ S.�i.--/k
*
CONTRACTOR: 4,0,44 v fay _ J,(/ C PHONE: - ?&2 - - o2fi
*
* MAILING ADDRESS:
*
* ARCHITECT/ENGINEER: PHONE:
*
* MAILING ADDRESS:
*
* NEW: )( REMODEL: ADDITION: CHANGE OF USE:
*
* DWELL UNITS: 1 OCCUPANT LOAD: BUILDING HGT: STORIES: Z
0*
• BUILDING DIMENSIONS: nia,X `io (WIDTH X DEPTH) SQ. FT.:
*
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
******************************************************************************
JeZ-V- = 1-{F Sot = G z P473 -\-
8c `` 2,vn iccio — Ltcg s z -
m ��. s�
*X**********4X**i******ti*4*************!************************************
* PLUNCIrC
*
*
* WALLING ACCFESS:
*
CONTR LICM:
INFCRMATION
CONTRACTCR: PFCNE:____-__ -
*
*
t**t**t*X442ttttX*X;X*****t*******************************X4****t*******X******
* MEtrI-AN ICAL INFCRMATIGN
• CO' IR LICA:
* CONTRACT GR: FFCNE: - -
*
* MAILING ACCRESS:
* ELECTRIC:__ (AS:___ CIL:___ CCAL:__ kCGD:___ SCLAR:___ FE“ FUNP:___
X16tX*L*#***4Xt444g4“t*********************************4 tx 4ttx444 4444 P*i i f 4X* * *
****************************************+*********************************s******
MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTUORK SYSTEM
wOCCSTCVE/INSERT
GAS WATER HEATER
GAS IIG EQUIP<10C.000>BTU
GAS hTG EQUIP+100,000 BTU
GAS PIPING - # OF UNITS
HEATPUMP 1-100M CTU
HEATPUMP 101-500m BTU
HEATPUMP 501-1,000M BTU
HEATPUMP 1,001-1750' BTU
HEATPUMP +1,750M BTU
REFRIG 1-100M BTU
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
kEFRIG 1,001-1,750M BTU
REI -RIG . +1,750M BIG
AIR CONDITIONER 0-3 HP
AIR CONCITICNER 3-15 hP
AIR CONDI T ICNER 15-3C HP
AIR CCNC.IT ICNER 30-50 HP
AIR CONDI TI-GNER +50 HP
VENTILATING FANS
EVAPORATIVE CCOLERS
HOODS
CLOTtES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-1000C CFM
AIR HANDLER 10000+ CFM
NLMBER CF
YES OR
PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPCSAL
CLOTHES DASHER
UTILITY SINKS
ELECTRIC LATER HEATERS
FLOOR GRAINS
FIOCP SINKS
BAR SINKS
ROOF CRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
NUKBER OF