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1990, 08-07 Permit App: 90003802 Remodel
Spokane. tou ty DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WO 085'/6- o$a$ HEET STREET ADDRESS: Lat? pyo �s{ CITY/STATE/ZIP: s _ / ?few SUBDIVISION: BLOCK: LOT: ZONE: AaSQB DISTRICT: 5 LOT AREA: F/A: WIDTH: # OF BUILDINGS: ( # OF DWELLINGS: OWNER: Z0 L- :7 2 / rfm t( MAILING ADDRESS: r/¢p.tt--- CITY/STATE/ZIP: %5 DEPTH: /VE R/W: /7I'� / WATER DISTRICT:/Gy7 cg ( PHONE : 050 f - CONTACT: `C2rzFp PHONE: SETBACKS: - FRONT: LEFT: IGHT: REAR: PERMIT USE: ***********skit****************************** ***********************fie******* BUILDING INFO TION CONTRACTOR LICENSE NUMBER: Ffr'l CG( - Commtc CONTRACTOR: � n. 0.4 t Ld ,g MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: G✓o D PHONE:rgoy -ft6 - PHONE: NEW: REMODEL: 4 ADDITION: DWELL UNITS: OCCUPANT LOAD: BU BUILDING DIMENSIONS: 2:41 X 3 0 REQUIRED PARKING: # HANDICAP: CHANGE OF USE: LDING HGT: STORIES: IDTH X DEPTH) SQ. FT.: 7 -to SPRINI LERED: CRITICAL MATERIAL: JOB STREET ADDRESS: PLUMBING PERMIT-APPLIgATION FORM Information Worksheet CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: CONTRACTOR: (Street) MAILING ADDRESS: (City/State) (Zip) LICENSE NUMBER: PHONE NUMBER: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION NUMBED OF FIXTI$RES X EACH FIXTURE = AMOUNT TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN 1 •1- / f x $6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = NOTE: MINIMUM PERMIT FEE IS, $35.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675