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2004, 05-17 Permit App: BLD-04-04381 Duplex spikane• 0"1\0N4i Milky PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: 509 688-0036 Fax: 509 688-0057 REQUIRED SITE INFORMATION STREET ADDRESS: /t9 7 A) a ''ct /1/U cam '_" �L - ASSESSOR'S TAX PARCEL NUMBER(S):_ a + LEGAL DISCRIPTION: I6 + S _ s P ' s --- -- -----PERMIT DESCRIPTION: /U 9' „,c_ - uILDING PERMIT V a CHANGED'USE -aGRADING CJI MANUFACTURED ROiv DRELOCATION CISIGN EITENANT DOTHER OWNER /APPLICANT INFORMATION1 OWNER: 9�Aunr�DRDCK CONSTRUCTION ® APPLICANT: 15 i�1 E.Mlt'Sk VERADALE,wa.a9037 PHONE: 0091 31 PHONE: - FAX: ADDRESS: ADDRESS: CITY,STATE,ZIP - CITY,STATE,ZIP ®CONTRACTOR:, a ARCHITECT: PHONE: -- _ FAX PHONE: FAX: •ADDRESS: - ADDRESS: _ . CITY„STATE,ZIP • CITY,STATE,ZIP WA ST CONTRACTOR LICENSE N CONTACT: [ . PERMIT/BUILDING INFORMATION COST OF PROJEC � .Eck f, 30%SLOPES ON PROPERTY: u MAIN FLOOR SQ FT: /J 50 t BUILDING HEIGHT TO PEAK: © CrCCUPANCY GROUP:_ _. 2ND FLOOR SQ FT: . BUILDING DIMENSIONS:414 K 75 CONSTRUCTION TYPE: UNFIN BASEMENT: Y' NUMBER OF STORIES: + • STRUCTURES ON PROPERTY: /'l)0 FINISHED BASEMENT:I 1 S0 NUMBER of BEDROOMS: 4' CRITICAL AREAS: A - GARAGE: • - DATE: STAFF: METHOD PAYMENT: © r r - d wMml► xry r ,od ra CASH CHECK BANKOARD0; EXPIRES: VIN# AUTHORIZED SIGNATURE: SO 20'd b6089E6 01 ad TO:LT M0Z OE d3S • r 11707 East Sprague Avenue,Suite 106 509-688-0036 Phone e Spokane Valley,WA 99206 509-688-0037-Fax 77 • Plumbing Permit Application PROJECT PERMIT ADDRESS: 90? iu` Uto d tiLt!' • r USE: OWNER 1 s.` f PHONE(Daytime Contact): MAILING ADDRESS: i 5-3 Z t NL?'s .-©,_, Oa.I ieu.)e ?`t 0 7 (street) (city/state) (�J CONTRACTOR ° f��'c .' ,p LICENSE d: MAILING ADDRESS: PHONE I: (street) (City/State) CM)' PLUMBING FD(TURES DESCRIPTION DETAILS I OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS IMO X S6 El URINALS TUBS1111111.1111.11111111 EDI SHOWERS(PER TRAP) SINKS BATH,STALL„ON-SITE BUILT ��'� X (AVS/BASINS,BAR,l[OOR KITCHEN, LAUNDRY,UTILITY.JANPHOTO,X- `.,, 56$6 $6 INIEWAIIIII 3/ RAY,FOOD;PREP/CULINARY/MEAT MEAT Y Y" DISHWASHER - /-,7 7 CLOTHES WASHER EMI $6 - a B GARBAGE DISPOSAL X $6 9 WATER SOFTENER X $6 _ 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE =am d FOvrrrAINS,DRINKING ' X WEE WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE VENT,PLUMBING REVERSALS- X $6 REVERSAL SEWAGE EJECTOR GRINDER,SUMP PUMPX $6 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOPER,CARBONATOR X $6 • SWAMP COOLER CROSS CONNECTION DEVICE VACUUM BREAD CHECK VALVE,AND R.P.B.P.D.PVATS,TANKS ISISOMERSEll . $6 Ila X OR SPRINKLER SYSTEM X szs • INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL . HOLDING TANK X ._ ,r •MEDICAL GAS per cutlet NITROUS,OXYGEN x $6 - MI SC_PLUMBING FIXTURE X $6 • • HOD OF PAYMENT SUBTOTAL: pr3'.2. � f;.:•74-r..-rd. PLUS PROCESSING PEE: $35.00 ksH 0 CHECK 0 NOM 0 -._ TOTAL PERMIT FEE DUE: /67a ©o EXPIRES: :BARD N UMBER OIUZED SJGNATURE: --__..,. ___ SO/P0'd 176089E6 01 dd 10:LI 200E OE d3S ** Se•39dd 14101 ** , • • 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone oII a ne Spokane Valley,WA 99206 509-688-0037-Fax d' 1ey Mechanical Permit Application PROJECT — — PERMIT — -�"— ADDRESS: 907 ', ,,„,,, I'f�J� . _ , USE: .+-- OWNER F ' PHONE( ay tite Contact):- • x11i MAILING ADDRESS: • (street) c/ . le C den_ F k_ZC7 5 (city/state) (ZIP) CONTRACTOR: s iE C 44It iL J LICENSE t: MAILING ADDRESS_ PHONE$: (street) .(city/state) MEI DESCRIPTION OF WORK J I OF UNITS I COST `EQUALS AMOUNTL1 FUEL BURNING APPLIANCE FUEL BURNING APPLIANCE >100,000 o X • 819 • 3 UNt•LSI'EDAPPUANCE(ADDrI2ONALPF -OR<�OOOO) X $o — 4 UNLISTED APPLIANCE(ADDmONAL FE) 3.404Q00 X 000 - 5 USED APPLIANCE(WSEC ma ARA MAO .or<400,00o X - - 6 USED APPLIANCE(MEC min.APUE Mktg) >400000 X sun • 7 Bon.ER/REPIRGERATION _ 1-IOOM!TU X BM •• • II Boa.ERIREFR(GBRATION 101-BOOM BTU X $28 - 9 KELER/REFRIGERATION S01-LOOOM 81U X F3F ID BOILER/REFRICERATION 1001.1,750M BTU X $37 I1 90ILERIR!_FRIGERATION +1750M BTU X 395 - 12 GAS LOG,GAS INSERT,GAS FIREPLACE - _ X 510 - 7 13 RANGE 14 DRYER X 510 (�; P • - X 510 • 15 FUEL BURNING WATER HEA1-FR .4 • X s10 18 Nese Fist BURNING APDL. - X 510 17 GAS PIPWC(ea 04040 _ .. X Si — iT�- • 18 DUCTSYSTEW6 _ X $10 "r 19 VEM'ILATtNG FANS (D X $20 - —J 0 . 20 AIR HANDLER(DOES NOT induct.ducting).OR c 10,000CF'M X so Y 2 AIR HANDLER(DOES NOT Include ductln0 >10,000 LTM X 519 ■ 22 EVAPORATIVE COOLERS - - X $10 ' 21 TYPE I HOOD _ - X 350 ~ 24 TYPE II HOOD X s10 23 NEAT PIMP/AIR CM/DIMMER 0-3 TON X 812 . 26 AD(CONDITIONER 313 212N _ X M0 27 AIR CONDITIONER 15.30 TON `X $25 28 Ali CONDITIONER 30-5 TON ) ----(--'--- --------535 AIR COMMONER +30 TON X ' KO - " 30 LPG srORACE TANK _ - X $IC - 71 WOOD ORPELLETSrovE/tNSEer _ x - 32 WOOD STOVE.FREESTANDIG "--� x — SUBTOTAL ) l lla/0 , METHOD OP PAYMENT PLUS PROCESSING FEE ;35.00 r .i :'.:,ss^r! t+. TOTAL PERMIT FEE DUE: bait, CASH ❑ cicx [] IMO D ti-- - . • DATE: EXPIRES' BANKCARD NUMBER —^-- AUT!•IORIZE.D SIGNATURE: SO'SO'd P6089E6 01 ad SO:LT 200E 0Z d36 is b" submitted for the petWWIof Thb site � and is a true and Correct obtaining a building permit Aa rueyro props rty repre � Wr an easements knees imensn ted are wetlands, have di eension n curb lined other critical areas. have been identified. Also sty bodies AO �- V- S : Ag/_ / oats: -... (C________//-1 v. '— s� -C t3 ` ` iso v° tot _. . . _ .,________.........._ .._..._ ___ ___ ,1, I ► ' .______ 610-i N , (1avN rM a,r---.c,r ADDRESS q 0-7 \ICLV\ Rafft-F- L..p eo'" P ' © 3 ZONE u2- ROAD WIDTH ?- FRONT FRONT- 1 C COMMENTS IIVj REVIEWED eWri.01141aw/0��