1987, 11-23 Permit App: 87004013 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 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 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= 87004013 DATE= 11/23/87
APPLICATION
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SITE STREET= 3808 E LOREHA DH PARCEL4= 33541-3302
ADDRESS=
PERMIT USE= RESIDENCE
PL I::i .i,. .... 004158 Li::'{ NAME= `:_ I Ij I ; 4TH :` 11 i..
AREA= 00000000 F/A= F 85 DEPTH= 135
OWNER= KELLER, BRIAN
DR
ADDRESS= :;i:;:
PHONE= 000 000 0509
CONTACT NAME= FRANK COBB PHONE NUMBER= 509 924 9406
BUILDING SETBACKS: FRONT= 28 LEFT= 2 RIGHT= ' 0 REAR= 50
.iq ,ao!* :: * :::ri..J:P:t iiP: REVIEW INFORMATION
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DATE
DEPARiMENI NAME .... !r . i::. 4( COMMENTS IN/OUT INITIALS
............................................................
BUILDING & SAFETY PLAN REVIEW REQUIRED
COUNTY EW;INEER NEW COUNTY ROAD APPW.ACH
Y7./44337
CONTRACTOR= GREMY INC
STREET= .............. .I......... t...... .
ADDRESS= SPOKANE WA 99206
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871123 GMW
PHONE— 50; 924 9406
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******************************************************************************
* INFORMATION WORKSHEET
• PARCEL NUMBER: 3 ` 4- 1
*
* STREET ADDRESS: � 6 L3
• CITY/STATE/ZIP: "trJ 6 Krx N r= (J(.) A 9 2)
*
* SUBDIVISION: (\/\ i G I owe s" 4 D 17
*
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* BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: 1 S R/W:
• # OF BUILDINGS: l # OF DWELLINGS: I WATER DISTRICT: Moo c�
* OWNER: � /a E PHONE: -
* MAILING ADDRESS:
*
* CITY/STATE/ZIP:
*
*
*
CONTACT: PHONE: - c(d L} - O
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* SETBACKS: - FRONT: LEFT: a / RIGHT: /(J REAR: 3---(3
*
* PERMIT USE:
*
*
*
*
*
*
*
*
*
*
*
******************************************************************************
* BUILDING INFORMATION
* CONTRACTOR LICENSE NUMBER: ;z 4"" D' Q i\g, *
* *
• CONTRACTOR: f < - (L \/ it/C_.. PHONE : - - 06„ .
* *
* MAILING ADDRESS: , /, ./ / a t A,r 1 *
* ARCHITECT/ENGINEER: PHONE: - - *
* *
* MAILING ADDRESS: *
* *
* NEW: 1` REMODEL: ADDITION: CHANGE OF USE: *
* *
* DWELL UNITS: t OCCUPANT LOAD: BUILDING HGT: STORIES :\/Z- *
* *
* BUILDING DIMENSIONS: Z' 16,`� X ' (WIDTH X DEPTH) SQ. FT.:
* *
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N):\) HYDRANT:
******************************************************************************
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* - CONTR LIC#:
* CONTRACTOR:
*
* MAILING ACCRESS:_�____
*
* PREVICLS ADDRESS:
*
* LOCATION: FARCEL ALNeER:_____-_
*
STREET:
* CITY/STATE/ZIP:_
*
* MAKE: ---- t'COEL :---
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* SEPIALk: t�IOTh:LENGTI-:____
*
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* REICCATICt' IAFCRt TICA
* CONTR L ICIt:
* CONTRACTOR: FFCAE: _-----------
* *
* MAILING AJCRES:
*
* PREVIOUS aCGPESS:
• LCCAT ICA:___—^ PARCEL NUNeER:
*
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SIGN INFCRNATICN
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* CONTRACTOR:
*
* HAILING ADDRESS:
*
SCUARE FOOTAGE:
POLE I -E I GN T _______
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*
• * CONTR L ICII:
* CONTRACTOR: i FHCt E: - - *
- *
* MA(LING ADDRESS:
* *
- *
* AUPBER OF BUILDINGS:
- *
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BUILCIt`G SC DARE fOCTACE:
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* NAILING ACCFESS:
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MELFAN ICAL INFCRMATIGN
CON IR L1C4:
CONTRACT,R: FFCnE
MAILING ACCRESS:
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MECHANICAL FEES
I1EM OESCRIPTICN
PROCESSING FEE
DUCTWORK SYSTEM
a0CCSTCVE/INSERT
GAS WATER HEATER
GAS F:T G EQUIP<IOC.000>BTu
JAS t,TG EQUIP+100,00b BTU
GAS PIPING - N OF UNITS
HEATPUMP
HEA TP UNP
HE ATPUMP
HEATPUI"P
HEATPJMP
REFRIG
REFRIG
1-10014 CTU
101-5001' BTU
501-1,000M BTU
1,001-1750M BTU
+1,750M BTU
1-100M BTU
101-500M BTU
NLKBER CF
REFRIG 501-1,000M BTU
1EFRIG 1,001-1,750M BTU
REI -RIG . +1,750M BTU .
AIR CONDITIONER 0-3 HP
AIR CONOITICNER 3-15 hP
AIR CONDITIONER 15-3C HP
A I P. CCNC.IT ICNER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTi-ES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10GOC CFM
AIR HANDLER 10000+ CFM
PLUMBING FEES
ITEM OESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS.
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE OISPCSAL
CLOTHES WASHER
UTILITY SINKS.
ELECTRIC NATER HEATERS
FLOOR DRAINS
FLOCP SINKS
BAR .SINKS
ROOF CRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URNAI
DRINKING FOUNTIAN
''‘Y
NUHBER OF
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