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1989, 10-30 Permit App: 89004370 Remodel Spokan County DEPARTMENT OF BUILDING & SAFETY A Division of Public Works INFORMATION WORKSHEET PARCEL NUMBER: P \ \� >5 y - l c‘w.STREET ADDRESS: 1 \\ CITY/STATE/ZIP: .)\� \•\�s<_S,t �C L SUBDIVISION: BLOCK: ` :3 LOT: L/A- ZONE: DISTRICT: LOT AREA: F/A: WIDTH: / 00 DEPTH: J 0-0 R/W: # OF BUILDINGS: * # OF DWELLINGS: I WATER DISTRICT: OWNER: PHONE: r c( — f)53 13 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: �-, PHONE: 5 OCt —y 2), — `� 2 Co \ � O,tJ..��er SETBACKS: — FRONT: M> f LEFT: /5 ' RIGHT: 6 2 ' REAR: 3 PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: OW C'(U of 13 '7 Qt CONTRACTOR: . ) Q , PHONE: S — 'Z Z -9 Co eN MAILING ADDRESS: 10 r, o l 1 G u w.\ AL -J ARCHITECT/ENGINEER: PHONE: — — MAILING ADDRESS: NEW: REMODEL: L_.----ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: ` BUILDING HGT: ' STORIES: ' BUILDING DIMENSIONS: ,5', X '2, cb (WIDTH 'X DEPTH) SQ. FT. : )O`-19 REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: PLUMBING PERM APPLICATION FORM information Iirksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: t )v 2-c, 54(4- 1 `( S 7. OWNER: 4 Q v.) O PHONE NUMBER: 9 la 9 e cc, MAILING ADDRESS: N. lot( ('1..r,,Nn.e.\\ ,A ©}�S QB^ x1.s q q n1,) (Street) (City/State) (Zip) CONTRACTOR: Q. `A) • Com . LICENSE NUMBER: L). Co\--,-frit)3')C . PHONE NUMBER: c5 • `j'),'.- Sig 1 $(g MAILING ADDRESS: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE NUMBER OF X EACH DESCRIPTION FIXTURES FIXTURE = AMOUNT TOILETS ?,., x $6.00 = 'IL. 00 SINKS 3 x 6.00 = 14- 00 SHOWERS I x 6.00 = (:). c)40 BATH TUBS \ x 6.00 = (0 .b0 KITCHEN SINKS % x 6.00 = 62 . 00 DISH WASHERS 1 x 6.00 = es, . 00 GARBAGE DISPOSAL C) x 6.00 = - o- CLOTHES WASHER 1 x 6.00 = 4. ..00 UTILITY SINKS 0 x 6.00 = -0 - ELECTRIC WATER HEATERS ! x 6.00 = 6 ;(,o FLOOR DRAINS _____R_____ x 6.00 = - o -- FLOOR SINKS x 6.00 = - o BAR SINKS b x 6.00 = - o - ROOF DRAINS b x 6.00 = - 10 LAWN SPRINKLER 0 x 6.00 = -.0 - SEWAGE EJECTOR C.) x 6.00 = ^0 - WATER SOFTENER 0 x 6.00 = -0.� URINAL C x 6.00 = - 0 - DRINKING 0DRINKING FOUNTAIN n x 6.00 = -0_- 1 SUBTOTAL $ LIo,, PLUS: PROCESSING FEE + $ 2 I EQUALS: TOTAL PERMIT NOTE: MINIPERMIT FEE IS $35.00eillq\ FEE DUE $ i i1)11;1 SIGNATURE , `).}0J,` Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 I II S P CJ K A N E �: rru t s_ ��rum,-s. C O U N T Y DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR November 30, 1989 DW CONSTRUCTION Route 3, Box 879 Otis Orchards, Washington 99027 Attn: DW Owen Re: South 1120 Oberlin Road - Interior Remodel of Residence Second Notice Dear Mr. Owen: The County Treasurer's Office has notified our department that your check in the amount of $387. 50 as a permit fee for the interior remodel of the residence at the above mentioned address has been returned from your bank. As of the date of this letter the check has not been replaced. Please be advised that this check must be replaced at the Treasurer's Office, which is located on the second floor of the County Courthouse (the last door on the east end of the building) , by December 4, 1989. Your prompt attention to this matter will negate the necessity for legal action. Until this matter is resolved, your permit is revoked and any permit-related work must be stopped. If you have any questions regarding this matter, please contact me at 456-3675. Sincerely yours, • - 44_1" _ Robin Domitrovich Secretary cc: David Silva, Building Inspector WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675 FAX (509)456-4703 c--' r"--------- C -- ') i P -,, c-7) ----*<_. C \) tc: w r-) rn 1 ---t1 &-„) • ( ,_- , on Dc ''' .' --- -) ->, c\, ,' ---•::_) .... II,_' .c) c') 4 Q r4 17; --. - 2 �