1991, 05-21 Permit App: 91002757 AdditionSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(S09) 456t3675
1 certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/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. I understand that the issuance of this permit/application 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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91002757 APPLICATION DATF•r= 05/21/91
**•**** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE.
SITE STREET= 2405 N CENTER FD PARCEL4= 07542-1603
ADDRESS= SPOKANE WA 99212
PERMIT USE= RESIDENCE ADDITON/ NWEC
PL..AT4= 000716 PLAT NAME=
BL.0CK= LOT=
AREA= F/A=
OF BLDGS= 4 DWELLINGS=
EI.•.ECTRIC RAILWAY SUBURBAN HOME
ZONE-:: UR 3.5 DIST#= E
F WIDTH:. 100 DEPTH= 300 R/W-= 4%
1 WATER DIST =
OWNER= THEW, MICHAEL R. PHONE= 509 927 7740
STREET= 2405 N CENTER RD
ADDRESS= SPOKANE WA 99212
CONTACT NAME::: MICHAEL THEW PHONE: NUMBER=: 509 927 7740
BUILDING SETBACKS: FRONT= 4 LEFT= RIGHT= REAR=—t-4 *N
**** •****•*x•****** •• •**** • •• *** REVIEW INFORMATION•**•****•**+•*•*•**r'3€****x•*******
DEPARTMENT REVIEW COMMENTS
BUILDING
BUILDING
BIJILDING
--rHEALTHD.EST
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
ENERGY PLAN REVIEW REQUIRED
INCREASE IN LOT COVERAGE
APPROVAL COMMENTS
PQ.-,,-_-s20141_tirec
.._..._ _. a `/_-
•x****•*•*****•*** c*•****•*******3c•*** BUILDING FERMI
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
OCCUP. LD=
30 X 49 SQ FT=
YHANDTCAP=
DESCRIPTION GROUP
GARAGE M-1
RES ADD R-3
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
TYPE
VN
VN
*************************.***
PHONE.
X ADDITION= CHANGE OF USE-
BLDG
SE-BLDG HGT= 12 STORIES=
980 SPRINKLER= N
CRITICAL_ MAT= N
****•*****•**•***********•******* PLUMBING
CONTRACTOR= UNKNOWN
STREET== UNKNOWN
ADDRESS-: UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
TOILETS
SINKS
BATH TUBS
CLOTHES WASHER
UTILITY SINKS
PERMIT TYPE FEE AMOUNT
BUILDING PERMIT 394.84
PLUMBING PERMIT 36.00
SQ FT
rw750
980
QUANTITY
Y
Y
Y
PERMIT
VALUATION
5250.00
32340.00
FEE AMOUNT
336.50
4.50
53,84
***********>H******•**1r******•***•
QUANTITY
1
2
1
AMOUNT PAID
.00
.00
430.84 .00
PROCESSED BY JOHN LARSON
PRINTED BY: JOHN LARSON
PHONE=
FEE AMOUNT
6.00
12.00
6.00
6.00
6.00
AMOUNT OWING
394.84
36.00
430.84
w•sc*•***•********************•****** THANK YOU ****.*. *...*•*******************•** :•,*
at
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: / V . ((QC ( 4J “Z
CITY/STATE/ZIP:C 9V
SUBDIVISION:
BLOCK:
LOT AREA:
fry 99
LOT:
F/A:
ZONE: DISTRICT:
WIDTH: 1Q 0 DEPTH: 3300 R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER:
lCfA-2L lam. ThELJ
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
S
PHONE: 527 -/d7 - 7%yo
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
**************** *********************************************,t,t***********
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)-
(Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
TOILETS
SINKS --
SHOWERS
BATH TUB S
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
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
/
x 6.00 =
x6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x6.00 =
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 =
2.
/
/
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
= 8
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
9/-277
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I hereby certify inf rmation submitted is c•.•rect ani there are no other structu
as shown.
Owner or Agent
Da
A LAPID USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE Cl
THIS IS NOT A PERMIT_