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1987, 06-15 Permit App: 87001768 Residence
I SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY NORTH 811 JEFFERSON SPOKANE, WASHINGTON 99260 (509) 456-3675 1 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 .. .. .. .. .. ..... .. .. ....: t. .. .. .. ........ }.. 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D i4 EL -1 Iii . t : t }... !_! t.Y '. t..Y ! � .. = I E..J .''•� .i. .« 'i :: 43 ji .... :t,t ! .. !.iCi{:i ht G. i :...!. 1 (`•, t:r • i} 1i 7 .. hi t'4t 1 I I ;. � ` ************************^*** �EP�Il lNFOkMAT]O� ******************����n ` |l[E �TREEl= �4O^ y �LLLER RD �'ARCEL�= �4wu ADDRE%�= %PUKANE WA 992i� p�RMl7 U%E= lo"E%lDENCE PLAr�= O04238 PLAT NAMF= %P -48O BLOCK= iOT= 3 ZONE= A�RI DI%T�= F AREA= OOOO0000 F/A= F WlDTH= iOO DEPTH= �9O R/W= 5O UWNER= KINNUNE,ROC�E� JTREET= 54Oi N KELLER RD ADDRE%J= %POKANF WA 992i6 C0NTACT NAME= BRUCE BUlLDlNG' %FTBAONT= 45 LEFT= PHONF= PHONE NUMBER= 5O9—Y26-5O05 PIF,HT= 2i REAR= 8i ******************************* BUILDIN� PEKMIT **************************** CONTRACT0R= HILDAHi C0N%TRUCTION PHONF= 509 92� �OO� �TREET= 4904 � CA�PBE�L RD ADDRE%%= OTI� ORCHARD� WA 99O27 � REMUDEL= Ab0ITlON= /�HAN�E U%�= — —�_ 1... DWLLi UN]|�= ^ V[LUp » REQ PAKKIN�= �HANDICAP= �EWER= � HYDRAN[= N »E%CKl;'TlON �RN]P TYPE JQ Fl VALUAllUN .... .... —.... ----------- ----- BA%LMEI'd T U 1.,-3 .... .... .... .... VN ----- 2OO6 ... ... .... .... .... i4O42.00 �ARA�E M— V 57� 34�6.00 RE%IDLNC� �-3 VN 2O06 722i6.00 ITEM DE�CRIPT]0N QUANTITY FEE AMOUNT ---... .... .... .... .... .... .... .... .... —.... .... REJIDENTIAL VALUATION .... —.... ... .... .... .... .... ... — -------- Y .... .... .... .... .... .... .... ... .... — 594.5O JTATE %URCHAR�E Y i.5O ENERGY %URCHARf"E Y i5.0O ******************************* MECHANICAL PERMIT ************************** C0NTRACTOR= HILDAHL CON?TRUCTION J7REET= 4904 N CAMFol 8ELL RD ADDRE%�= O[IJ OKCHARD% WA 99O27 TTEM DEJCRlPTlON .... .... .... —.... —.... —.... .... .... .... .... —... .... .... .... --.... .... .... .... .... /,�% WATER HLA[ER �A� HT� ERU[p'iO0,O�O}8TU yA% PIPlN� PHONE= 5O9 926 �OO� l7 /o/ 4 /0.2.4 boa A co -5 303 _ m P�OJ�C� NUMBER= 8/OOi768 * PLUMPING PEUM]T CONlRACTOR= HlLDAHL CON%[RUC7ION PHONE= 509 926 9005 STREET- 4904 N CAMPBELL RD PDDRE%%= nTl% URCHAKD% WA 99027 ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS %lNK% 2 8.O0 BATH TUBS 2 8.00 KITCHEN ClNK% i 4.O0 DISH WASHERS + 4.0O CLOTHES WASHER i 4.00 UTILITY %INK% i 4.0O ******************************* PAYMENT SUMMARY **************************** PAYMENT DATE RECEIPT:!!: PAYMENT AMOUNT 06/23/87 2394 667.5O ------------- FOY AL DUE= .00 TOlAL PAID= 667.50 PERhI[ lYP[ F[E AMOUNT AMUUNl PAID AMOUNT OWlN(, --------------- ------------- ------------ ------------- 8UlLDIN6 PERMIT 6ii.00 6^1.00 ^OO MECHANICAL PRM(' i6.5O i6.5O .0O PLUMBING PERMlr 40.0O 4O.O0 .00 ------------- ------------ ------------- 667.50 667.50 .00 PROCESSED BY: MA%CARDO, GODOLFIN ******************************** THANK YOU ********»************************ * INFORMATION WORKSHEET * * o-3 0 l * PARCEL NUMBER: 3- * * STREET ADDRESS: * * CITY/STATE/ZIP: * * p SUBDIVISION: * * BLOCK.: LOT: CL- ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: 1,.c> DEPTH: %cR/W: * * # OF BUILDINGS: 1 # OF DWELLINGS: * OWNER: i� M r2 '. n .. � Z PHONE: - - * MAILING ADDRESS: h` 15Lk l oet * CITY/STATE/ZIP: Nf-At w•• * * * CONTACT: PHONE: - - * * * SETBACKS - FRONT:Y5 LEFT: t_ RIGHT: Z1 REAR: -S( * PERMIT USE: * * ************************************************************************* * BUILDING INFORMATION * * * * * CONTRACTOR LICENSE NO.: * r t CONTRACTOR: a u c. a \A Al o,i" k PHONE: L - S�� * MAILING ADDRESS : RA l7 , (, * * * ARCHITECT/ENGINEER: PHONE: - - * * * MAILING ADDRESS: * * * NEW: V REMODEL: ADDITION: CHANGE OF USE: * DWELL UNITS: OCCUPANT LOAD: BUILDING,HGT: STORIES:__ * * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. 200� * * *REGUIRED PARKING: # HANDICAP: SEWER:(Y/N): HYDRANT: 2.06 A g:- 67CJ (3A PZ * NGCILE t -CNE INFCRNATICN * CCNTR LICq=------------------------------ # CONTRACTOR:------------------- ------------------- PHCNE:-------------- # * MAILING ACCRESS:_____ x # PREVICLS ADDRESS:_____ k ------------------------------------------ '� LOCATION:------ PARCEL NLNEER:____-___------------------------ * STREET:__________ * C I TY/ST ATE/ Z IP ----------------------- * * '4AKE:-------------------------- NCOEL=---- '� a ----------------- * SEP IAL k :-------------------------- 6I DTF : L ENClF :____ #+yyyy y �{/+lyyyyyyy/y,/,---- * RELCCATICN INFCRNATICN x 4 C O N T R LIC #=------------------------- t * Y * CONTRACTOR =----------------------- ----- ---- F h C N E =---- ---- ----- '� * * MAILING ADCRESS:---------------------------- ---------------------------- x * T * PREV IGUS ACGRESS: # L CC AT I C N :___-- P A SRC E L N UN B ER :---------------------__-_-- * S i R E E T:--------------_----- x * CITY/STATE/ZIP:______ $ * SIGN INFCRNATICN * LONTR LIC4:__ _ $ * CONTRACTOR:___--_____-- fFCNE - - * MAILING ADDRESS - - - - - - - - - - - - - - - - ----------------------------- * * * SQUARE FOOTAGE:____-_ POLE ♦-EIGHT:___-__ * * * * OENCLIlICN INFCRNATICN * CONTR LIC#:_ * CONTRACTOR:-__-- -___--- _ _ FHCNE:---_-_-- _ * MAILING AOORESS: * BUILCING SCUARE fOCTACE: _____- '� NUNBER CF BUILDINGS:- .yy yy i yy . .t ♦ .I .l .�l z—a I�—y�a ♦ .M .a y. J�, a .I. .A. r1, I. .L # # # # t T # T # # * T # ; # 1 # # # # � # # # # # # # 1 1 # # * * * * # Y f � � � 1' T t # Y T # # * # T # T '1• * T Y # T � � � � �T � � T T # # Y � Y T * PLUPOJINC INFCRMATION * ' CON TR * CONTRACTCR:---------------------------------- PHCNE — * MAILING ACCFESS:----------------- -------___—_ # ------------------------- # MECF-ANICAL INFCRMATIGN * CON TR LIC.4'------------------------------ # # # # CON TFACTGR:---------------------------------------- FF - CNE:_— -- --- — # MAILING AC CF:ESS:------------ --------------------------------- ----- # # # ELECTRIC:CAS:CIL:___ CCAL:_— 6CGD:___ SCLAR:__— FEAT FUND:__— * � ********#***************************s*****************************************#**� MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOCCSTCVE/INSERT GAS WATER HEATER GAS HTG EQUIP<10C,000>BTU 6AS HTG EQUIP+100,000 BTU GAS PIPING — # OF UNITS IiEATPUNP 1-100M ETU HEA TP UMP 101-500r BTU HEATPUMP 501-1,000M BTU HEATPUMP 1,001-1750M BTU HEATPUMP +1,750M BTU REFRIG 1-100M BTU REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU AIR CONDITIONER 0-3 HP AIR CCNCITICNER 3-15 hP AIR CCNDITICNER 15-3C HP AIR. CCNC.ITICNER 30-50 HP AIR CONDITI-GNER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTrES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE AIR HANDLER 1-10GOG CFM AIR HANDLER 10000+ CFM NLMBER CF ITEM DESCRIPTION NUMBER OF ------- YES OR t�G ------------------------- PROCESSING FEE -------- YES OR TOILETS _? SINKS SHOWERS _�— BATF: TUBS _ KITCHEN SINKS DISH WASHERS GARBAGE DISPCSAL _ — CLOTHES WASHER ____— UTILITY SINKS ELECTRIC NATER HEATERS _ FLOOR DRAINS _ FLOCK SINKS _ BAR SINKS _ ROOF CRAINS _ LAWN SPRINKLER _ — SEWAGE EJECTCR _ WATER SOFTENER _ URNAL DRINKING FOUNTIAN yo�6 5� Ile `t2lo•- 5005 � t',� p►ILetl4r�a� i� '" q n� f n.0 i J f lei I 0 w. � � .�r. waw �.�.� (,�A►'.�V V vp OWKE PLUMBING USE 4" PVC PIPE Am D $D , it &STIA FIN V 214 SLOPE :-;w.e „ter. �•' �r.M '��x''�� t^1c,- Gu _•fir rw•!.aY; '�c�^'+ � 4�rT9 Amos ypp' rr� i. o