1987, 06-10 Permit App: 87001713 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 Ntrlih.87;
)1 , '•
DATE=
06/10/87 PAGE= 01
P}f:.{Ygj iP:i }ij} t 4 9 ` : ? : : "u 9 F APPLICATION ) k 7. '!{: 9 1 i ! ?: 'I t iK:C J '!::: : !I : !:: : '
SITE STREET= 3518 S MELISSA AVE PARCF14= 33541-3206
ADDRESS= SPOKANE WA 9920•^,
PERMIT USE= RESIDENCE. wii;r Rri(:,E::
PLATO= 04:4058 PLAT NAME—:::: t -t .i. l; :i:I._ Oi"IE: FOURTH Fa t) D
:
.... . ..l..
BLOCK= LOT= 6 ZONE= Pa i:::::: ;� F�� 1: ; t) ,> -i- 4:::: l:-
AREA= 00000000 F/A= I:" WIDTH= F•1:::: 85 DEPTH= 127 Rs't •• 50
4 OF I.. F.t L.. i) ly ,:; :_: 1 {l DWELLINGS= •1
OWNER= NORTHWEST I.•l(:Ji'1EL'
STREET= P 0 BOX 141295
ADDRESS= SPOKANE WA 9214
PHONE= 509 926 0978
CONTACT NAME— TED ARNOLD :1••lf)i'••1F:: NUMBER=
::::
BUILDING (:Y EII:,i(:'K FRONT= T:::: ::.'i0 LEFT= 32 RIGHT= 10 REAR=
****************Y.-************* .
DEPARTMENT NAME
BUILDING & SAFETY
REVIEW INFORMATION
REVIEW COMMENTS
PLAN REVIEW t,.i itii-.lx't_I.l.I•?'E..(i
COUNTY
Y C::i' Gl:f`E::Ef:Rt: NEW } (`f::ti tj j..i.4{, ROAD
APPROACi
'yf..n..!{• * * 'h:• • b:' x k ';{: ';!: 3!: 3i• :k :4' :R * ya: 'h: 'P::n: 'P: * :n::n:
DATE
IN/OUT INITIALS
070610 1:,111
('—i (ir7
'P: it :* :n::!F •}>.• :i{: •j{: * a !i..ji• * * * •ji• •pr.i' iu: ixr in; .f .i• * :!i' * •Ji• i!4 iit• J'r * BUILDING PERMIT ************K***************
CONTRACTOR= NORTHWEST HOMES
STREET=
rI)I•?'
\ (t 1l•'v E:. I :. •I = B i_t . `141295 h
ADDRESS= l'•'f.)K(iNE:. WA 99214
4
PHONE= 0 926 0978
NEW=:: X RE_tM(:):1::E:1...:::: ADDITION= C:1IANG.:,E:: USE=
j_}n{JI::I...E. UNITS= 1 i•t1 C: to- : LD= BLDG HGT= STORIES—....
Bi..I)G W r (a :::: 24 X 42 ,.,i..i F 1008
REQ PARKING= OHANDICAP= SEWER= Y HYDRANT= i•'J
DESCRIPTION GROUP TYPE
BASEMENT F R• -••.a VN
GARAGE M-1 'b!1
RESIDENCE I:;.....: VN
VALUATION
---------
5814.,00
...................................5814..00
******************************************************************************
* INFORMATION WORKSHEET
******************************************************************************
* *
* PARCEL NUMBER: 33,E54/ -- .72b/P *
* STREET ADDRESS: S, 35/g �/(.,. /SSS *
*
* CITY/STATE/ZIP: S AcaAJJ , 14-)4414-)440.,, *
* SUBDIVISION:drGoA✓izr- 7' *
*
* BLOCK: J LOT: 4. ZONE: DISTRICT: *
* /Z? *
* LOT AREA: F/A: WIDTH: his" DEPTH:AMC R/W: *
*
* # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: %u%oc err_
*
* OWNER ?j ,lam , , d /t, PHONE: - - *
* *
* MAILING ADDRESS: *
* *
* CITY/STATE/ZIP: *
* *
* CONTACT: PHONE:
-
* *
* SETBACKS: - FRONT:30 LEFT: 37... RIGHT: /b REAR: .13 *
* *
* PERMIT USE: E5, dss,' a- G ru �/Z *
* *
******************************************************************************
* BUILDING INFORMATION *
* *
* .CONTRACTOR LICENSE NUMBER: floc 4 H Z/ 3 2) Z *
* *
* CONTRACTOR :A , gS r Arl PHONE: - 92...c.- 04 7 g *
* *
* MAILING ADDRESS: (I), /'?;,(
*
* ARCHITECT/ENGINEER:
*
• MAILING ADDRESS:
*
*
* DWELL UNITS: / OCCUPANT LOAD:
PHONE:
NEW: ? REMODEL: ADDITION: CHANGE OF USE:
BUILDING HGT:
STORIES: 1
• BUILDING DIMENSIONS:L X (WIDTH X DEPTH) SQ. FT.: / I,
* REQUIRED PARKING: 11 HANDICAP: SEWER (Y/N): Ni HYDRANT:
******************************************************************************
6/71/
R
2 e -Az
*
* CCNTR LiC:
,a CONTRACTOR: PHCNE:____—____-
* HAILING ACCRESS :
4
* PREVICLS ADDRESS: _ t
*
*
LOCATION: PARCEL NLNeEP:____=
*
STREET:
* CITY/STATE/ZIP:_
*
* SEPI^Lk:tiID7r: LENCTL:
****tttttttt*ttttt*tt*****************t********************************&**
*
* COiTP LIC#:
* CONTRACTOR:
RELCCATICN IUFCRt TICI"
* MAILING AJCRE 5S :
*
* PREVIOUS ACCPESS:
*
• LCCAT ICN:_PARCEL NUMBER:_
* STREET:
* CITY/STATE/ZIP:
* * *** * * 4 * * 4 t * t t h t # 44 * * * * ** * T******* ** **** #*** * *** **** * ** *44** * * * ****** ***Y***
* SIGN INFCRMATICN
* CONTR LIC*:
*
* CONTRACTOR: L__,__ FVCKE:____- -
*
* MAILING ADDRESS:
* *
* SCUARE FOOTAGE: POLE I -EIGHT: _
*
********s*********************************************************************
* OEN.CLITICK 1NFCFMATIC
4 CONTR L IC#:
* *
* CONTRACTOR: FNCRE: - - *
* MAILING ADDRESS: *
* *
* BUILCING SCARE FOCTACE:
* *
#
NUMBER CF BUILOINGS: *
* #
F t- C n E :--- -_-- -
MUS********4********************************************4***t******4' *****
L;
0
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CONTRACTCR:
NAILING ACCFESS:
t 4* t** t t t t 444 441414 4* ** **+ 4444444400
r
r MAILING AC`RESS:
L. _AL:_ Y. L L .. _ .
CONIR LIC4:
CON TRAC T GR :
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MECHANICAL INFCRMATIGN
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MECHANICAL FEES
I1G,M OESCRIPTIGN
PROCESSING FEE
DUCTWORK SYSTEM
wOCCSTCVE/IRSERT
GAS ►TATER HEATER
GAS hTG EQUIP<10C.000>3TU
GAS hTG EQUIP+100.000 BTU
GAS PIPING - X OF UNITS
HEATPUMP 1-10(1M eTU
HEATPUMP 101-500m BTG
HEATPUMP 501-1,000M BTU
HEATPU1P 1,001-1750P BTU
HEATPUMP +1,750M BTU
REFRIG 1-100M BTU
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1.750H 8TU
REI -RIG . +1,750M BTU _
AIR CONDITIONER 0-3 NP
AIR. CONG I T ICNER 3-15 11P
AIR CONDITIONER 15-3C HP
AIR CCNC.ITICAER 30-50 HP
AIR CONDITI-GNER +50 HP
VENTILATING FANS
EVAPORATIVE CCOLEPS
HOODS
CLOTt-ES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000+ CFM
NLmBER CF
YES OR
PLUMBING FEES
ITEM OESCR[PTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE OISPCSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC LATER HEATERS
FLOOR DRAINS
FLOCK SINKS
BAR -SINKS
ROOF CRAINS
LAWN SPRINKLER
SEWAGE EJ-ECTGR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
NUt<8ER OF
YES OR
4
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