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1987, 12-15 Permit App: 87004215 Relocate Residence************************************************************************* R * INFORMATION WORKSHEET * ************************************************************************* * * * ,,* * PARCEL NUMBER: & 4 5 4 4i 12 01 * * * STREET ADDRESS: f- (! 9 0 3 RP U2-oPc0 U((Wig * * * * CITY/STATE/ZIP: ,5p ti kG(A . OC, G f !,k) * SUBDIVISION: in&S C e -„St / * * * BLOCK: 2- LOT: / ZONE:_ DISTRICT: * * / //r * * LOT AREA: _-Ii F/A: WIDTH: J), s,'DEPTH: /)$ R/W: 5b1 * * * # OF BUILDINGS: #OF DWELLINGS: * OWNER: f//,9/ 9/L 7/7,1E PHONE: -2- /5 ?/ * MAILING ADDRESS: G-yy_ /3fe//-3 ,5,./()/7/* * * * :sok ) Q 2/ 6 * CITY/STATE/7,�P: i * CONTACT : / 4 e/ -/z U(/ t PHONE : -, /" * * SETBACKS - FRONT: 30 LEFT: -- RIGHT: 10 REAR: �* * * PERMIT USE: ('s /t247 'a/ ************************************************************************* * BUILDING INFORMATION * * * * * * CONTRACTOR LICENSE NO.: * * CONTRACTOR: q 'ii 40/bv-p_ (3) PHONE: Q -2L-/--C-67 * / / * * MAILING ADDRESS: / J,3 * * * ARCHITECT/ENGINEER: PHONE: - - * * * * MAILING ADDRESS: * * * * NEW: REMODEL: ADDITION: CHANGE OF USE: * * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * * * BUILDING DIMENSIONS:' `1 X 32- (WIDTH X DEPTH) * SQ. FT. %� "b * * *REGUIRED PARKING: # HANDICAP: SEWER:(Y/N): HYDRANT: ************************************************************************* e) ftiyfM ********#**#*##;`-******#*-X##*4v***-:*#####*#**##*44444t-** #**x*u** *1*=tt# NGPALE FCNE INFCRNATICN * * CCNTR LIC#: * * CONTRACTOR: PHCNE: * * * MAILING ACCRESS: * * PREVICLS ADDRESS: * * LOCATIGN: PARCEL NLNEER: * * STREET: * x. * CITY/STATE/ZIP:_ * MAK`: NCDEL: * SEPIALk:_ LENGTF:____ * y y J y yy a�}{ ++ / + y y J{ y y y/ y y y y y t y y y y y y y y y M yy y yy * * * * * * * * * Y * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *' * Y Y * * * * *' T * * * * * * * * * * * * * * * * * * * * RELCCATICN INFCRPATICN * CONTR LIC#: * CONTRACTOR /414:1- t— PFCNE:__-- -- * * MAILING ADDRESS: * PREVIOUS ACDRESS: * * * LCCAT ICN:____ PARCEL NUNEER: * * STREET: * * t * CITY/STATE/ZIP: * * t/+ y yyyy��a y yyy y y y y y y yyy * * * * * * * * * * * 4 * * * * * * * * * * * 4 * * * * * * * * * * * * * * * * * * * * *' * * * ** * * * * * * * * * T * * * * * * * * * * * * * * * * * * * * CONTR LICK: SIGN [NFCRMATICN * * * CONTRACTOR:— * * * MAILING ADDRESS: * * * *. SQUARE FOOTAGE:____ _ POLE rEIGNT:____—__ * * **s*************************************************************************** * DEMCLITICN INFCFNATICN * * CONTR L ICI#: * * * CONTRACTOR: F1CNE: — — * * MAILING ADDRESS: * * * * BUILDING SLIjARE FOCTACE: * NUMBER CF BUILDINGS: * ******************#**********************-************#************************* .#,#********:##***t#***##*#X#*#*****44*******'******##r'#-*****************#r**** NLUNE1NC INFCRMATION * * CONTR LIC4: * * * * CONTizACTCR: PFCNE: * NAILING ACCPESS: * * 4444**44, 4 ## # # # #*4 K #*****444 ***4**** *************44*****4 #*#*#*44****•4#444**** * MELFANICAL INFCRMATICN 4- * CON TR LIC 4: •# * * * CON TT:ACTOR : FFCNE: 4 4- * # * MAILING ACCRESS: * ELECTRIC:__ GAS:___ * 4**#****44444 CIL:___ CCAL:_tCCD:___ SCLAR:___ FELT FUNP:___ * ##4**###*********************************#*#*###*4x44*****4#*#*** *******t*************************************************************************3 MECHANICAL FEES PLUMBING FEES I TEAM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM wOCCSTCVE/IlSERT GAS WATER HEATER GAS FTG EQUIP<10C,000>BTU GAS hTG EQUIP+100,000 BTU GAS PIPING - # OF UNITS HEATPUNP 1-100M eTU HEATPUMP 101-500N BTU HEATPUMP 501-1,000M BTU HEATPUMP 1,001-1750K BTU HEATPUMP +1,750M BTU REFRIG 1-100M 8TU REFRIG 101-500M BTU REFRIG 501-1,000M BTU kEFRIG 1,001-1,750M BTU REFRIG +1,750M BTU AIR CONDITIONER 0-3 HP AIR CONOITICNER 3-15 hP AIR CCNOITICNER 15-3C HP AIR CCNC.ITICNER 30-50 HP AIR CONOITI-GNER +50 HP VENTILATING FANS EVAPORATIVE CCOLERS HOODS CLOTI-ES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-1060C CFH AIR HANDLER 10000+ CFM NUMBER CF YES OR NG ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE OISPCSAL CLOTHES WASHER UTILITY SINKS ELECTRIC NATER HEATERS FLOOR DRAINS FLOCK SINKS BAR SINKS ROOF CRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URNAL DRINKING FOUNTIAN NUMBER OF YES OR NC NI ki 0 1‘) 1/) .1> td SPOKANE 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 Y DATE= 12/15/ APPLICATIO 4.4:44444444444444.***44:k*44444 AFP SITE , T 1 : !. . 11903 E RAILROAD r .r"j..i. 04544-1201 ADDRESS= SPOKANE ! 99206 :0 PERMIT USI::::::: RELOCATED j) I: E.:S]:f)~•ISICE:: W/ BASEMENT PLATO= 003397 PL...AT• NAME= PINES WEST ..1ST (d:)D BLOCK= 2 LOT= j ZflN ::= ^1=R ):I: •'f• I::::: 00000000 0 :: A::: F WIDTH=121 DEPTH= 185 0 OF .fitL..DI_yE-•• ? '!!• DWELLINGS= OWNER::: f.,•U T l'eR:CE. , RALPH /f• STREET= RE::E I 13423 E 32'.N j AVE ,ADDRESS= ,J J'= SPOKANE WA 99216 • PHONE— 509 926 .!.? ., CONTACT NAME= F::A•'f•T:I: BRE::I:.t'IdI II::T .PHONE NUMBER= 509 328 0111 BUILDING SETBACKS: FRONT= 0030 ! `: ) RIGHT= 00e4') REAR= 0t ?!`•)l) **:,.'?Ei{•.a>:a{.*.:,!: ..:**•xai**••*•ir.••***•ria **.** REVIEW .`•i;MATIO* .j{• .?{• * ri• # )4 * * •y{• •?{• ?r i!: 3!..k .?{• •?!:.;,.:•{• .at..it :a..t!: • x•:: DATE INITIALS DEPARTMENT t � �i ryi i=: REVIEW COMMENTS IN/OUT BfU:[I...DINf & SAFETY I::'I...AN REVIEW -REQUIRED. 871215 GGiii CnONTY ENGINEER .... .., .. APPROACH !l:' Il�t:ll �/-i jam(// /✓ /// V 6-2 F7 - fN 4 S-517............... COUNTY E:I,'s.G:I:NEE::R NEW COUNTY ROAD) APPROACH 871215 GGM ENVIRONMENTAL HEALTH N E:: W OR ADDITIONAL WASTE WATER 871215 l: y f:; M 14 s 0/ iije -