1987, 12-15 Permit App: 87004213 Relocate Residencer
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that 1 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
s
NUMBER-
4
DATE= I
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APPLICATION
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SITE STREET= H909 E RAILROAD Q!!,. PARCELO= 04544-120.3
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ADDRESS= SPOKANE Jq 99206
PERMIT USE= RELOCATE RESIDENCE:
PLATO= O=
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PLAT NAME=
PIIVE:.': WEST
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AREA=
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90 DEPTH= 164 I•y, f W :::: 50
ENVIRONMENTAL HEALTH
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WASTE WATER
871215
t.Y 114--:
OWNER= GUTHRIE, RALPH
STREET= 13423 E 32ND AVE
ADDRESS= SPOKANE WA 99216
CONTACT (�( NAME= E P—�1 "f 1: f?IiE:::E Cs' ,"It.ii'7' ; I
ONE E (�1t.1i'�5 ,:::1� = L� 09 ::. 6 1 •��i'i
BU:LI..,DINir SETBACKS: : FRONT= 00:30 LEFT= 0011 RIGHT= 0000 REAR= 0000
REVIEW :I:NFORMATIOi ? ie it il: ii )i il: ii :i ;t 1t rlt ,, 31; .; :.;:, 3,; ii..}( •p...}I; .}>. t...k ll :'F: �:
DATE
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WASTE WATER
871215
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CONTRACTOR= OWNEf*�
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NEW= X
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ADDITION=
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USE::::::
DWELL UNITS=
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REQ PARKING:-
*HANDICAP::::
WER=
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DESCRIPTION PT.I.i.lN
t:rRO1.,i' TYPE
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VALUATION
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BASEMENT
:
1472
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10304.00
* INFORMATION WORKSHEET
*
* PARCEL
* *
* STREET ADDRESS:-E- 0 TALLr,-c4a.O l e
*
* CITY/STATE/ZIP:� �6kM(.JC-� *
*
* SUBDIVISION:
*
* BLOCK: LOT: ZONE: DISTRICT:
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* LOT AREA:/ F/A: WIDTH: DEPTH: L�-R/W:
*
* # OF BUILDINGS:# OF DWELLINGS: l
*
OWNER: a l,4 -L' C,(z 1 h%/ c PHONE: - -
* MAILING ADDRESS:
* *
* CITY/STATE/ZIP:
* CONTACT: PHONE: 2-�-/
*
* SETBACKS - FRONT: LEFT: RIGHT: REAR:
* *
* PERMIT USE: S / 7"Z
*
*************************************************************************
* BUILDING INFORMATION
* *
* *
* CONTRACTOR LICENSE NO-:
* *
*
CONTRACTOR: PHONE:
* MAILING ADDRESS:--
ARCHITECT/ENGINEER:
DDRESS:_ ARCHITECT/ENGINEER: PHONE: - -
* MAILING ADDRESS-
* *
* NEW: REMODEL: ADDITION: CHANGE OF USE:
* *
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:r
* *
* BUILDING DIMENSIONS: �2. X(WIDTH X DEPTH) SQ. FT.
* *
*REGUIRED PARKING: # HANDICAP: SEWER:(Y/N): HYDRANT:
vi L 3 - S,
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CCNTR LIC#: ------- ------------- ---------
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CONTRACTOR: ------------ ---------------- --------- PHCNE:----------
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MA IL I N G A C CR E S S =------------------------------------------------
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PREVICLS ADDRESS:--------------------------------------------------
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LOCATiGN:----__ PARCEL NLNEER:-_________________-__-_____------
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SQUARE FOOTAGE:___--_ POLE FEIGHT:___–__
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MAILING ADDRESS --------------------------------------------------
BUILCING SCUARE FOCTACE: _____–
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NUNBER CF BUILDINGS:______
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# PLUNEINC INFCRMATION
CO+N T R LIC 4 --------------------------- #
# CQN TR AC T C R =--------------------------------------- P FC N E =---- --- ---- #
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# NAILING ACCFESS:------------------ ------ - - - - - - - - - - - - - - - - - - - - - - - - #
# #
# ME(-FANICAL. INFCRMATIGN
# CON TR LICA: Y
# COwTFACTGR=----------------------------------------
# MAiLINC ACCRESS:--------------------------------------------------
# #
* ELECTRIC:_- CAS:CIL:_-_ CCAL:_- wCGD:___ SCLAR:___ FEAT FUNP:--- #
# *
MECHANICAL FEES PLUMBING FEES
I TEAM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
wOCCSTCVE/INSERT
GAS WATER HEATER
GAS FTG EQUIP<10C,000>BTU
GAS hTG EQUIP+100,000 BTU
GAS PIPING - # OF UNITS
HEATPUNP 1-100M ETU
HEATPUMP 101-500t, BTU
HEATPUMP 501-1,000M BTU
HEATPUMP 1,001-1750N BTU
HEATP'JMP +1,750M BTU
REFRIG 1-100M BTU
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIV 1,001-1,750M BTU
REt-RIG . +1,750M BTU
AIR CONCITIONER 0-3 HP
AIR CONCITICNER 3-15 hP
AIR CCNDI TICNER 15-3C HP
AIR CCNC.ITICNER 30-50 HP
AIR CONDI TI-GNER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTFES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-1000C CFM
AIR HANOL ER 10000+ CFM
KLMBER CF ITEM DESCRIPTION NUMBER OF
YES OR NG PROCESSING FEE YES OR NC
TOILETS
SINKS
SHOWERS _
BATH TUBS
KITCHEN SINKS
DISH WASHERS _ ~_
GARBAGE DISPCSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS _
FLOCR SINKS _
BAR SINKS _
ROOF CRAINS _
LAWN SPRINKLER.
SEWAGE EJECTCR _
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
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TEL NO:509-456-4715 4062 P01
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