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2003, 09-12 Permit App: BLD-03-02464 ResidenceREQUIRED SITE INFORMATION Stiolia<e‘' ,00Valley /05) f!rr PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 108 Spokane Valley, WA 99206 Phone: (509)688.0036 Fax (509 • = i 137 STREET ADDRESS: ASSESSOR'S TAX PARCEL. NUMSER(S): _ Lf(, , , 56'07 LEGAL DISCRIPTION: T 131L ) % SUNK 't I - L0 QA5T PERMIT DESCRIPTION: CISIBILDING PERMIT a CHANGE IN USE - ®GRADING D SIGN D TENANT 0RELOCATION MANITF AM:MED -HOME p•o-TRER OWNER / APPLICANT INFORMATION 13 OWNER: 44/k/ ZCE: 6 Dc, (_,(--G/?S_s T/1/4_, c.. PHONE - 7" L'53 FAX: C t • {clt� ADDRESS: ; �v `�.5 1�- Cr € S G /'L' ADDRESS ZIT,STATI, ZIP °CONTRACTOR: 40",-OcG= G _ 'Oo L:C Gess rA-c - ARCHITECT' PHONE -1S' 3-�> Z ,FAX; 3_- 7�� PHONE: ADDRESS: A. g 5-16, ADDRESS: LL h1 040(21-% CITY,.STATE,ZIP WA ST CONTRACTOR UCENSE # L /'1N ZG 6-001 1P$ CONTACT: APPLICANT: PHONE: FAX: CITY, STATE, ZIP FAX: CITY, STATE, ZIP L PERMIT/BUILDING INFORMATION J COST OF PROJECT: BUILDING HEIGHT TO PEAK: 22 OCCUPANCY GROUP: _ BUILDING DIMENSIONS:5 . $ 5-2- CONSTRUCTION TYPE: 30% SLOPES ON PROPERTY: y -C NUMBER OF STORIES: NUMBER of BEDROOMS; 2- I STRUCTURES ON PROPERTY: CRITICAL AREAS: MAIN FLOOR SQ FT: /C -)5 -C) 2ND FLOOR SQ FT: 0 UNFIN BASEMENT: C) FINISHED BASEMENT: GARAGE !12 - DATE: STAFF: -- — - METHOD OF PA YMENT: 0 CASH 0 CHECK BANKG4RD4 0 D EXPIRES; VINE' AUTHORIZED SIGNATURE' �� 11707 East Sprague Avenue, Suite 106 509{$8-0036 - phone Spokane Valley, WA 99206509-688-0037 - Fax *lane Mechanical Permit Application PROJECT ADDRESS: ei/L-f, Cie -WA/ OWNER:GAti-u G- Do .e4.s_ . MAILING ADDRESS. PERMIT USE: PHONE (Daytime Contact): <35-10 co s; �i Aie s C u -v4 c)c/ -Z-L? (street) (dty/state) (ZIP) CONTRACTOR:44/U ZEE . G- CCb V C --CESS rnfc= MAILING ADDRESS:. LICENSE 8: �..� 7. -C6 -c Ci7Zip 5" PHONE S: /UgstO crams; G Lire_ su44, 4cizf (street) (city/state) (ZW) METHOD OP PA ❑ CASH p CHECK ❑ �. - ❑ - DATE: BANKCARD NtJER AUTHORIZED SIGNATURE DESORTF1TONOFWORK •OFWITS X COST EQUALS AMOUNT 1 a sueNzIC .+.. .OR4100.030 > 100.000 NIN' MEIN X 515 519 11111�,� MINING APPLIANCE • . APPLAANC6 (ADD 11GNAL FEE) - OR <600.000 >400,C00 X X 530 5103 MI man= APPLIANCE (ADO NAL PEN 5 5• APPUANC6(WSECmIxi.AMR radng) .ar<4OQ,000 X Sao 6 � • ovum.4 (WSECMa AFUEraffiJ >4OQ000 3100 • .. ': / 4.4..-, :. 1 •,• 1- wow BTU 10t•NOM STU III 925 520 • - a :. Irl - T Ms' .� 9 L.,.• 13 3+'"x:.1.` n.,, 501 • I,000N STU 599 - IIIIIIIIII 10 1+'.ry/a7a.T►. 1001-C1��.I7VyaM'] *USN BTU 12 LOG, GAMS =OASPREPt.A6 11111112111011 111E111 310 —.' 13 RANGE X 510 - 14 DRYFR=11 IIIIIMIIMI �� X MEW $10 510 910 -"■■� MINN •0 I EilQSC ' BURNING wine tams FOWL BIRNWGAP?G E G15 PQa OWN) SYSTEM ° - 11111111M11111111 � � 111101111 Q y roc me 111111111=1111 11F311510 - .i1�''f� ... , . ..,-.7D000CFM • . v j l..• . .'v , , -OR< > 10,003 OW — - Mill X X 11E311 312 319 510 850 no iii • - - Alit NANIOLER (DOES NOT Muiude dudia6i I. •,. , ...:'u• I ROOD IIHMO TPUMP/AIR CONPrUONER 03TON 345 TON 15-30 TON 3040 TON 11 512 3Z5 VsIIE 335 - - - 26 AIR COMM:0Np V /I, .. •. . ., 78 / , .•:a•:..;.;..c 30 0 , r ■ • L51DRAPG6AGETANK �am� 510 IIIIII SI • .,, ORPSLL6T'sTOVFJ0.I5ERT - - X X 510 i25 ECM� - STOVE - MEE HANDING IIWOOD SUBTOTAL: g PLUS PROCESSING SLE: $35.00 TOTAL ?UMI' FEE DUE. 1'Z,_ _— ❑ CASH p CHECK ❑ �. - ❑ - DATE: BANKCARD NtJER AUTHORIZED SIGNATURE (unHOD O CASH *lane w"r*i& 11707 East Sprague Avenue, Suite 106 509-+688-0036 - Phone 509-688-0037 - Fax Spokane Valley, WA 99206 Plumbing Permit Application 1 • (✓Z u)"../ U5 i OF UNTIE ADDD & %(ric&- OWNER: - PHONE (Daytime Contact) 1 TOn.EI5 MALUM ADDRESS 3 X (street) (city/stare) (ZIP) 1 pis CO Arrnx:z..,4iv 7,,= G- C) c.-6 ss T..ii.Lic eN E s: ,u 7 z, G 7 z p5" G ADDRESS: ii 510 r -/ue_ Y' 9/ 6 PHONE 1: 56 L4Aq- C'9Z1 �street) (city/state) PLUMBING FIXTURES SAT& ANKCARD NUMBER: V'IHORIZ.En SIGNATURE: ** TOTAL PAGE.03 ** DESCRIPT• IONMAILS i OF UNTIE X COST EQUALS AMOUNT 1 TOn.EI5 Warn maser, BIDEts 3 X 56 - 1 pis 2 URINALS X 56 • X $6 56 - 4 • y ti 4 ,- TRAP) a t/ •, •: : I i 5 SINDCS LAVSMASINS, BAR, RAOR, KITCHEN, LAUNDRY, UTILITY, JANTrOR, PHOTO, X• RAY, FOOD, PREP/CJLWARY/MEAT ) (, 56 DISHWASHER 56 56 56 111 7 r!• is ' i:`i.0 MACE NOT WATER TAM ,1•J1 ._ -' ,'-.--..1 , 11 FLOOR DRAINS.. . •t•!R ?. ,, �•-,i•-y+-. • 11.11111111 X 56 - 13 Lea..4ja.- ",Ii:.yjIIIIII WATERPIP1NG/DRAIN4N WAS% VENC, PLUMBING REVERSAL X 56 - INSTALLATION, ALTERATION, REPAIR, REVERSALS X 56 - SEWAGE a • ' 1 a SUMP PULP X 56 - 15 WA1'&R U51NG DEVICE ICS AND/OR COME MAKER HOBS Bffi. 17 MOWER, CARHONATOR, SWAMP coo= X 56 - 26 CROSSCONNEOCION DEVICE ACUUM BREAKER, CHECK VALVE, AND R.P.B.PD. FOR: VATS, TANKS BOILERS x 86 - SPRINKLER SYSTEM X 525 - 18 INTERCEPTORS ' _ r, c ': TRAP, SAND TRAP, CHEM/CAL HOLDING TANK X _. 56 a DitEDICAL GAS p cadet NI ROU5, OXYGEN X 56 • 20 MISC. PLUM", FIXTURE X 56 - ,PAYMENT 0 CHECK 0 MM. 0 • • ..1 SUBTOTAL PLUS PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE SAT& ANKCARD NUMBER: V'IHORIZ.En SIGNATURE: ** TOTAL PAGE.03 ** • 30+00 --F RIGHT CROWN 14' WIDE BORDER EASEMENT OF WAY ROAD -(pt. 203b TYPE uRe 10' WIDE EASEMENT FOR UTILITIES APPROVED B WS SETBACK L� SWIM 60.10' UNDARY 31+00 RIGHT DF ►NAY SCALE: 1 "=30' L0� 6 LOT 7, BLOCK 17 SUMMERFIELD EAST 4th ADD. J 1 ENGINEERS 1220 N. HOWARD ST. F9201 FAX (509) WA 9 326 -0423 (509) 326-5139 SURVEYORS 101 MAIN RD. LEW SF0N[ 63501 FAX (20806) 7447446-8-68226615 (2) 177044r-628626i D fL1'1O(a