1990, 05-24 Permit App: 90002318 ResidenceSPOKANE COUNTY DEPARTMENT OFBUILDINGAND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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. lo 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
PRO•..;E(:;'T NUMBER= 900(23-1
DATE= 05/24/90 PAGE= 01
APPLICATION
..... .... .
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ADDRESS= ,rI::=t;I!r1i'',?1. i'r'i 99216
PERMIT I.. E1:::RESIDENCE
PLATO= 003135 5 E'i...A T NAME= REI._CHE-R' . AT)i,
BLOCK= •1 LOT= 3 ZONE= EFR D :I: ,`s -r' 4 = F
AREA= = F / A — 1:- WIDTH= ( ) DEPTH= 135 1 W= 50
ADDRESS= SPOKANE WA 9:;r21
CONTACT NAME= WES CROSBY
(::ISJ::'r
BUILDING SETBACKS: FRONT= h!.,
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PHONE= 509 926 5 529
PHONE NUMBER= {:)i;}.): 9: 5229
LEFT= 36 RIGHT= 1 ( REAP— ! ; f , — ',
REVIEW .. j_)•t:!"•9 ;.....!' . •P: •P: ik 'P: 94 •P: P.• •P: •Jl• •)k •H: •h: 'P: a!' * ')!. •)!• $:• •Pi •14• 'N.' dt •P:.!!..Hi )/i
DEPARTMENT REVIEW .?:I:EWi COMMI..:N.T.s APPROVAL COMMENTSBUILDING PLAN REVIEW ` �` + � � ! � � 9
J:iU:I:L..o1:j CY SETBACK REVIEW ER:F:QI..):E.RET)
BUILDING I..:i`•!1.::E (:Y'r PLAN REVIEW is 1= (: I..) T E E ): J
ENGINEER APPROACH/FLOOD E'1...r'i:l:N/DRAIN.AGE: fe.:, l.S%f . . I.
j"II:::Ai...'ir-ityi. r NEI,,? OR ADDITIONAL WASTE WATER ./.4-444,
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t.4 i
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PEa(1NIE:::: 509 926 5229
CONTRACTOR= it 1-1 J) INC
ADDRESS= '= 1::`Ok ANI•- WA 992'1
NEW= X
DL.IEL...j... UNITE=
REQ PARKING=
X
REMODEL= 0
EQ FT=
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ADDITION= C:1" IA'r`.(:;E OF USE= t.)
J:fj...b(:; 1"I(:;•T'.... STORIES=
<<'1 Et`TNk I...I:::F:= i'4
CRITICAL MAT= N
:k*************************** PLUMPING PERMIT '. ptPhT�PAP11fjAhhAbPNln.! {: R P $, F •:
PHONE= 509 926 5229
CONTRACTOR= c i{ D :[N1
rhir;J;RE- ; i:::: SPOKANE WA 99213
E E;:C1C:i:.`' lE:J} BY: WEN:DEI... , c;1...OR:f.Ni
3 l l:i':t'T'i: D BY: WENDEL, , (:;l (:)E? I tt
J(• * * * •A• :n' •» 3': • . •....... .. •h:.. •)i . •.• •'Ai •h:. '..),. * a,...)(• .. ')i: 3,: THANKFf hU ***************************K*****
4 )
Spokane County �'�� are
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, 'WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: `/ '3 / L/, �/ 3
STREET ADDRESS: * 7LZA-J.w,t _
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: ` LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: CZ DEPTH: 75 R/W:
# OF BUILDINGS: /
# OF DWELLINGS: 1 WATER DISTRICT:
OWNER: PHONE:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
PHONE:
SETBACKS: - FRONT: LEFT: 5/ RIGHT: /49 REAR:
PERMIT USE:
****************************************************************************
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: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # 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
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
It
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 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT'
FEE DUE 1= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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