1990, 12-03 Permit App: 90006518 ResidenceSPOKANE COUNT;RTMENT OF BUILDINGS
c Ivii3l03 BROADWAY AVENUE
POIANE, WASHINGTON 99260
(509) 456-3675
I 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
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER- 90006718
DATE= -1 '-)2;/< 0
APPLICATION
N
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SITE STREET,
PERMIT USE-
PLATO=
I...(.It.:€t::::
O+.. NE::R=
STREET-
ADDRESS -
7920
EET-
ADDRES:s:..
f'92(') F' L;F•.ACE: AVE
SPOKANE WA 992:2'
RESIDENCE NWE::C::
001868
250
PLAT S NAME
L f) I
H j.?hJr"I...i...:1:3v C; C':::
PARCFL4= 07542-4007
ORCHARD AVENUE
i ZONE= , I: R
w ..'. 1 €' 1.... 77
BEMIS,
yyI• t., r MARY JO
309 E TRENT AVE
<SPOKANE WA
CONTACT NAME- MARY .JO BEMIS
BUILDING SETBACKS: FRONT- 3,6 LEFT 3
-)>:• ;i• •x• i x• * •x- iE it x 3,:• * •>i• 3k 'x• * ii 34• iK * * h• a<:• * ir: 3r ie * 30. REVIEW :[NF
DEPARTMENT
ru:t1...D:I:NG1
BUILDING
1; .J I...ni:NG;
ENGINEER
HF(•`oi._ TfPLAN�HDT ,;.j.
I•';E .I.I .'x! Cf.}tMMENT :"
PLAN. REVIEW REQUIRED
SETBACK , REQUIRED
)
ENERGY PLAN REVIEW REQUIRED
APPROACH/FLOOD PLAIN/DRAINAGE
NEW OR ADDITIONAL WASTE WATER
INADEQUATE FRONT ONT YA€ D SETBACK
3 D.) (TR . i " 229
DEPTH= I= 1 4ij
PHONE- 509 926 1176
PHONE Ni..! IEEE:1 09 922 25 . r;.
...: -
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co
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9'0r/04-3'2: 71/21/1726% - - .1 /
h- i!:• 3E i+• ii iii 3•: 3f• i£• iI' 36 ti• it N• k:' •)f- * )t. i{.:. 3,..)i• *.ii• ri- 3t •k• ir; ?r it 'Y{ Tit t.J : ... T) :r N i:x pERmiT
CONTRACTOR-
STREET-
ADDRESS=
Cjp.T.F:AC...I.OR::::TF E::E:T::::Ar3rRES;>:-:SPOKANE WA 99212
PFt1.1l�.).,`.i' ALL WOOD BUILDING CO,
}''1..��.)4T E:: TRENT AVE
NEW- X
DWELLUNITS=
REQ PARKING -
RE:: tOC)E"1._-
SarJ1 E 1':-
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DE::;:i f:. R I: P IO GROUP
1.., Cj v DECK Fti ... ;x
RESIDENCE F)€:::Nf...1:` I:t....T.
TYPE
VN
VN
SQ FT
16
.1036
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/.-3.r'r�.^. _..,
3(• -:: # 3': 3i• -k• * * * * i£• * * •)i• it• * 3i• )E ii• * aE 3i 3f• i:: 35 ii: -i:
PHONE- 509 926 1176
ADDITION= CHANC;F. 4.IS..,
BLDG +3T.r T ... ' ,. Ti'ik I1 .,..
SPRINKLER- N
CRITICAL MAT- N
ITEM ::i€::,`'.'CR:€:PT:1:Cj'€ T•.iUANTIT:Y:
RESIDENTIAL :I:DE::NTT'7:EiI... VALUATION Yr
STATE SURCHARGE
COUNTY SURCHARGE
is :r b: ), * 3i * ii it ii. ie .){ ii• ri• ii• •r% p- :ri 3E 3r * 3t• 3E 3i• 3t` n• ib 1t• ie €'' €... _) I . Tit I N G +" ::. Fk itil [ T
CONTRACTOR- RICK'S PLUMBING ,
E •T• R E::1_. T :::: T t ("I X 3874
ADDRESS= \`i'OKANE WA 99220
ITEM DESCRIPTION
TOILE
SINKS
—H TiBS
OKS
j.) J. 2 i -I 1
WASHER
RMT TYPE
r 1
HEATING
VALUATION
:) 0
FEF AMOUNT
;j:i8,50
is )i• ir::k 3i• ., it' * 3 f 3r 3z• ., . i':• 3r:• .A ii i?• *. 3;...v..N.)
QU ANTI TY
PHONE- 509 c...,. :::i .4090
FEE AmOUNT
h:13f3fGe-:E;
Spokane.;County
DEPARTMENT OF BUILDING & SAFETY'°36
West 1303 Broadway Avenue Spokane, WA 99260 (509) 455-3675
IINFOrRMATION WORKSHEET
PARCEL NUMBER: 4r);,,A-t ,D��`y/�i/✓�
STREET ADDRESS: 7 qua
/VIP( /tel• //r-,�i �,�
CITY/STATE/ZIP:
Arm Qum / 9.3 /17/
/e/CA's "/ /6 3
occape
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: 7 7.7 DEPTH: / (to, 2/"Vg.:
OF BUILDINGS:
OF DWELLINGS: WATER DISTRICT: Cir/ c%- q' 4,141,1'U( _
AVNER: f )al a' if czrr0f J v
[AILING ADDRESS: 7M l
PHONE:
'ITY/STATE/ZIP: 5��Qit7�0
if q9a i;
ONTACT : 7 % : 17-() PHONE: J e ?�-
/ / 7-4
SETBACKS: - FRONT: LEFT: 3-S-17RIGt11':
REAR:
ERMIT USE:
k*************** *************4lc*fc*** Eft******************4lcic*lcic+4lcicicics ***
BUILDING INFORMATION
)NTRACTOR LICENSE NUMBER:
)NTRACTOR:
1ILING ADDRESS:
PHONE:
LCHITECT/ENGINEER:
PHONE:
AILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
ELL UNITS: OCCUPANT LOAD:
BIIILDING HGT: STORIES:
ILDING DIMENSIONS: %
(WIDTH X DEPTH) SQ. FT_:
QUIRED PARKING: f EANDICAP: SPRINK LERED:CRITICA.� r Y; .�-,_ERZ;,T_,.
-- DETACH TO DISPLAY CERTIFICATE -
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
CONST CUNT GENEf2At,;
REGISTRATION NUMBER
g3(i*TI00 04:rt i 1
(C01
PA U1,SA W1•�0�
PAUL'S ALL WOGD BUILDING C
760Y L TRLN?
SPOKANE
99122214
STATE OF WASHINGTON
t DETAr.H TO PISPLAY C'ERTIFICATa _±
F625-052-000 (6-89)
•a
PLUMBING PERMIT APPLICATION FORM
• Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER:
PHONE NUMBER:
MAILING ADDRESS:
(Street)
CONTRACTOR:
(City/State)
LICENSE NUMBER:
PHONE NUMBER:
(Zip)
MAILING ADDRESS:
(City/State) (Zip)
(Street)
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
p2 x $6.00 =
Z 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
1
EQUALS: TOTAL PERMIT)
FEE DUE 1= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
Use of private.wells and water systems is prohibited.
The public water system as,approv d by, County and State health
authorities and the local fire .district and purveyor will be
installed within this plat, and the subdivider will provide for
individual domestic water service as well as fire protection to
each lot prior to sale of each lot.
w+d Brass Cap with X
15 5.45
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656.30
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