1987, 04-29 Permit App: 87001163 PoolAPR -29-'87114
04
ID:HEALTH SPO
TEL
ND:509-456-4716
HFR-29-
;30
ID:BLDB AND SAFE7Y-5PO
TEL,
NDi5O9-456-4703
#075 P01 -1
#051 P02
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH Oil JEFFERSON
SPOKANE, WASHINGTON 92280
(500) 4504879
1 oorldy that I have examined this permit and state that the Information contained in It and submitted by moor my agent to compile solo permit it true and
correct. In addition, I have road and understand the NOTICE provisions Included Itsroln and agree 10 comply with same, All provislona of laws and
ordinances governing this type of work will b9complied with whether speolfied heraln ornot. Thograminpof a permit daft not p ro$Wms to give authority
to violate of cancel the provii1onil; of any slate or local low rdgUlallrig ocinstructlon or the 04tformanoo of oonstmolion.
algINATURt OF APPLICATION
OWNER OR AUNT DATE
AID I:;1.401JON
SITA", 6102 r;: VALLEY V1J,,W DR 025'1'i32 0907
A 1) 1) r, F.:' S S llo SPOKANE; WA 99206
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OWNI: Put 1"'VERSON, TIM M
S TREi I ;?162 E VAI LEY %111Z W DR
ADDRESS= SPOKANE? WA 99206
(,NJN'I'A[',1 NAME153 CONI NACTOR PHONE„ NUMDE: k- .509-489-6436
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* INFORMATION WORKSHEET
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* PARCEL NUMBER: �_
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STREET ADDRESS: f- �p l o z
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* CITY/STATE/ZIP:
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* SUBDIVISION:
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hi,,DISTRICT:
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* BLOCK: LOT: ZONE:
*
#
* LOT AREA: F/A:
WIDTH: DEPTH: R/W:
#
#
* # OF BUILDINGS: # OF
DWELLINGS: WATER DISTRICT:
#
*
*OWNER- 4
PHONE: - -
*
#
MAILING ADDRESS:
#
*
*
* CITY/STATE/ZIP:
#
*
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* CONTACT:
PHONE:
*
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SETBACKS: - FRONT:
LEFT: RIGHT: REAR:
#
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* PERMIT USE:
*
xx*xx*xxxx***xxxx�#**�*x*x*xx#xxx*xxxxx*xxxxxxxxxxxx#**#x#xx*#**x**x#****xxx#
*
BUILDING INFORMATION
*
* CONTRACTOR LICENSE NUMBER:_�
#
x
*
* CONTRACTOR:
-
PHONE: - xz
*
* MAILING ADDRESS:L005,4064
ARCHITECT/ENGINEER:
PHONE: - -
#
* MAILING ADDRESS:
*
x
* NEW: REMODEL:
ADDITION: CHANGE OF USE:
*
*
* DWELL UNITS: OCCUPANT
LOAD: BUILDING HGT: STORIES:
x
* BUILDING DIMENSIONS:
X (WIDTH X DEPTH) SQ. FT.:
x
* REQUIRED PARKING: #
HANDICAP: SEWER (Y/N): HYDRANT:
xxxxxxxxxxxx**xxxxxx*x*�xxxxxxxxxxxxxxx*��*xxxxxxxxxx*xx�xxxx*#xxxxxxxxx*xxxx#
# PLUVE I NC INFCRtAAT ION
CON T R L ICA
* CONTRACTCR = P! -CNE: - It
* MAILING ACCF E SS:--------------------- -----------------------
* MECFAN ICAL INFORMATION x
CON TR LIC -4 :____-_
* CONTRACT;R=-----r----------------------------- FFtn -
* MAILING ----------------- x
# ELECTRIC:__ GAS:CIL:_-- CCAL:__._ 1,CGD:___ SCLAR:__- FEAT FUND= 4
4#4%*4444*44,I t9444114***4444* ***4IV1 443# 44%4 4444,*44 44 *A***
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION RL.KBER CF
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NG
PROCESSING FEE YES OR NC
DUCTi4GRK SYSTEM _
TOILETS
,AOCCSTCVE/ INSERT _
SINKS
GAS WATER HEATER
SHOWERS
6AS HTG EQUIP<10C.000>aTU —
OATH TUBS -`--
GAS hTG EQUIP+ -100.000 BTU
KITCHEN SI KKS
GAS PIPING - # OF UNITS _
DISH WASHERS
I+EATPUt'P 1-10nM pTU _
GARBAGE DISPCSAL
HEA TP UNP 101-500x BTU _ —
CLOTHES WASHER _
HEATPUMP 501-1,OOOM BTU
UTILITY SINKS
HEATPUMP 1,001--1750~ BTU _
ELECTRIC kATER HEATERS
H`ATPJNP +1,750M BTU _
FLOOR DRAINS
REFRIG 1--1000 BTU
FLOCR SINKS _
REFRIG 101-500tt BTU
BAR SINKS
REFRIG 501-1,000M BTU
ROOF CRAINS
REFRIG 1,001-1,750M BTU ._
LAWN SPRINKLEh _
REFRIG . +1,75011 BT(; —
SEWAGE EJ-ECTCR _
AI'R CONDITIONER 0-3 fJP
WATER SOFTENER
AIR CGNO I T ICNER 3-15 hP _
URNAL
AIR CCNOITICNER 1'5-3C HP
DRINKING FOUNTIAN
AI P. CCNC.IT ICN -ER 30-50 HP _
AIR CONDI T I•GNER +50 HP
VENT ILAT ING FANS
EVAPORATIVE COOLERS
HOODS
CLOTI-ES ORYER
RANGE _
GAS LOG _ —
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10GOC CFM
AIR HANDLER 10000+ CFM _ --
*
P091LE !-f NE INFCRFATICN
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*
CCNT R L I C+i __--___—__..,.....______--
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------------ ---------------- -------- PNCNE----------
---------MAILING
MAILINGA C CR E S S:--------------- -- ------------------------
PREVICLS ADDRESS: ------------------
LOCATION:___--- F A RC E L A L N E'_ E R:-__--._.._-------------------------
_-----------------------STREET:_
STREET: -
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PREY IOUS ACGRESS:
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LLC.AT I4: n: PARCEL NUPBER
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S I RE E T :_-_
*
CITY/STATE/ZIP _ __-_____-__—___ _______________---------------
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CGN T R L I C* :__
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CONTRACTOR ____. ----- _._.___ _ ._.__ Ft-CtiE•____-
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*
MAILING ADDRESS :___ _ ----- ------------------
--- ---_-SQUARE
SQUAREFOOTAGE:-.-POLE I-EI+GtiT:—_—__
*
DEMCLI t ICK INFCFFAT IC�ti
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CONTR LIC#:_
*
CONTRACTOR:—___
*
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MAILING ADDRESS:-- ._...__......._.__._..._--_____.---------- ------
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---
*
*
BUILCIRG SCUARE FOCTACE:
—_---
4
NUMBER CF BUILDIAGS:
#
APR -29-'87 15:00 ID:HLDG AND SAFETY -SPD
+--wm r PPR -29-1 ®9 14:30 I D:I L M AND SWETY-SPO
9TLV-^gab-465ION -a1
TEL N0:509-456-4703
TEL NOIZZI-436-4703
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