1991, 02-13 Permit App: 91000494 ResidenceSPOKANE,,COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained init 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= 91000494
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SITE , _(. F,. F:: E:.T ::::
PERMIT
ry Saf.«
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(OWNER=
STREET=
EE'T•=
ADDRESS=
DATE:, 02/13/91 F At E.. ( 1
APPLICATION .
APPLICATION 'k' 3i * 3i• )h )G 3k )j..)k ;ti 3c..,yc• a;• •ri• »• ?t•• 3t• ): fi• )t 3F 3i:' )i••)i..p. # .}rt R
11004 I::. OLIVE AVE PAr:.°c::E L..'j 16543-0229
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SF`c:IKANI:.: WA 99120.'
RESIDENCE
001
E,:, IDEN(•::E-
r'.'ijP1 s' 20 PLAT NAME:::::
LOT=
00000000 F/A=
DWELLINGS=
I) I:{, BUILDING
12018 E iST AVE
SPOKANE 'WA '"99206
CONTACT NAIME::. CHRIS ;::'WANE :.ti
T'O., I I...D:i:'t',iT:y SETBACKS: FRONT= 30 i.
I:::1:. T•==
G L. E N N o ,,.:I: E ' I! (:t , i T r:`•f r:; %:
F WIDTH= 8'i DEPTH= ,.T.H..,.: i 3'.:,
PHONE= 509 926 0755
.,71,4= 50
PHONE NUMBER= $C. lY 926 0755
RIGHT= 15 REAR= 75
t: »i; )i ;'i• . )i:*.k. j,; ,h..m..h:• * * .h * )t. 3i• * .M... * * * )i; * )i. * )i. ):; REVIEW INFORMATION 3i * *** * �i..,;. * * w: 3i• )i: )i: * )i• 34 3R• •a: * 3t 'r: * x• * :u•
DEPARTMENT
rMEN.T..
BUILDING
BUILDING
ENGINEER
Hr::.r'?....T HD? sT
,'.;TATE I i::F''T
REVIEW COMMENTS
PLAN REVIEW REQUIRED
UI.I i:`t:
SETBACK REVIEW REQUIRED
AFP`i:'RC:lv1::... COMMENTS
adaoyorfi..,4 F•L.1l('M F'i...r (:i`I/C?R'AI'4A I... 90.F_.�G i0
NEW 7) T.00AE W-ATER
PUBLIC WATER SYSTEM REVIEW
:i )i• iW: )i b' •r: 'H: •h' !i * n. h. . k. ......* }i• 34 k K• * 3e a• )t• 'a• )t• 3i. * 34 )i• BUILDING PERMIT * * )k * ii• * * )c •i:: * * * •x rk r � 3i' 3i• 'b• * x• :a• * * * ;e * 'ii' *
CONTRACTOR= D T:{ .811.11...DING; INC
STREET= EE"T:;:: 1s'Y)'1t:t E .i ,'>'T AVE
ADDRESS= SPOKANE WA 99206
NEW= ;i REMODEL=
DWELL 4. NIT, '::, 1 OCCUR. ,... I;, :::
REQ PARKING= Oi"IriNI' I4.: r•'ti:'-::
DESCRIPTION
DECK
A A
RESIDENCE
G; I:'.
GROUP
'`i—i
ITEM DESCRIPTION
•
RESIDENTIAL. VALUATION
STATE SURCHARGE
COUNTY SURCHARGE
TYPE
Vi
VN
VN
VN
1004
SC's!. FT
i 0 4:! 'i
49
4a4
1004
PHONE= 509 924 0755
ADDITION _ (.I CHANGE t.) F" E::::
BLDG " 12
..r
SPRINKLER= ;,;
CRITICAL MAT= ,1
..Y. QUANTITY
Y
VALUATION
9036,00
192,00
44176,
FEE AMOUNT
4^x,00
71—.56
)i. 4 3i w - k ii• n R fir )k +)t )?• )t' t: * 9 -K * 3} ,y. 9. * ;n;• •3i.k k. MECHANICAL PF ? .:
* 3i• * ); * -rr n. A. * ri :.:.•. ;,;. ii
AND CONTRACTOR .... r.:f ttii l f ` i ' METAL
rSTREET- i '>> z :'s 4[: TRENT r"t r4' r.
6 1 }Cal ; l F I T i`+ 'i iii i'� ia1 i•:{ ui �.y; r`% •i `,> .
UFO DESCRIPTION
WATER I-=::r`'s(•i':: is
t G E I} I, -i i. $" 0 ';10 i d:i
i"` I. NG
rk'`
qOANTITY
PHONE-
.. ..,7,0 .,
PHIVjF
FEE ;:Ei'il-;!_i;.)T
��.- --
•
Spokane County ,9v,�Q,s04, . 4 �vf'/:5/4
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS:
CITY/STATE/ZIP: C:N�;�\��
SUBDIVISION: CA i,�n \,,.L Oe e
BLOCK: LOT: -%._ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: c/ DEPTH: 7 R/W: __6P
# OF BUILDINGS: \ # OF DWELLINGS: \ WATER DISTRICT(
OWNER:
MAILING ADDRESS:
CITY/STATE/ZIP: S
CONTACT:
PHONE:
PHONE:
SETBACKS: - FRONT: ":sp LEFT: `\ RIGHT: \e.) REAR: "\j
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
' �- a , ?/.3
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS: L§LQ j •a -N
PHONE:
- \ -
NEW: \ REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
(WIDTH X DEPTH) SQ. FT.: \<'`s-ar.
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
PLUMBING PERMIT APPLICATION -FORM
Information Workpheet
JOB STREET ADDRESS:
CITY/STATE/ZIP:��,n�`
OWNER:
MAILING ADDRESS:
CONTRACTOR:
PARCEL NUMBER:
PHONE NUMBER:
(Street)
MAILING ADDRESS:
vim.\`% r• X ��-
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(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
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 I8 $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE + $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE = $
Spokane County Department of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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