1991, 07-31 Permit App: 91004634 AdditionYr
Spokane County
DEPARTMENT OF BUILDINGS & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260,1509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
INFORMATION WORKSHEET
b. C3a e
SG"' C.,/mac
BLOCK: LOT:S%C ZONE:
LOT AREA:
# OF BUILDINGS:
OWNER: S74f1P.-,
F/A: WIDTH:
# OF DWELLINGS:
MAILING ADDRESS: - C 0 g 9/7
CITY/STATE/ZIP:
CONTACT:
SETBACKS: - FRONT: LEFT:
Sdd
W0.
DISTRICT:
DEPTH: R/W:
WATER DISTRICT:
PHONE:6-0c - S2 -,3C - 6,x.5 7
PERMIT USE:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
\I)rvtZ 42on11 i 2 13 G12y,g, °Eck_
PHONE:
RIGHT: REAR:
cou •
***•#h'i4*****************************
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL:
DWELL UNITS:
PHONE: -
ADDITION:
CHANGE OF USE:
OCCUPANT LOAD: BUILDING HGT: STORIES:
X (WIDTH X DEPTH) SQ. FT.:
SPRINELERED: CRITICAL MATERIAL:
BUILDING DIMENSIONS:
REQUIRED PARKING: # HANDICAP:
Please provide the following information for Energy Code compliance:
Space heating type (check one)
Forced air electric
Forced air gas �L q
Flat ceilings R T /
Vaulted ceilings R
Above grade walls R
Below grade walls R
Floor R
Slab on grade R
22
Electric baseboard or wall mount , Propane
Heat pump Other:
Doors U,-----
Windows 15-74754
Glazing area %: / a,
Total floor, area
of heated space / a^a-
Furnace efficiency rating �..._
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor:
Second floor:
Basement - Finished:
Unfinished:
Garage:
Carport:
Decks:
Additional Areas:
\
Drwc w.+y
Ti'IC £i. e..
a
/ 1• Ti
351
p
35'
35'
:+
1 y'�
70'
(4'r')7 s' _to -7
7 7(
EASTEXA) s4.
JUL-31-'91 10:19 ID:HEALTH SPO
TEL NO:94502243
JUL-31-'91 10:00 ID:DEPT OF BUILDINGS TEL NO:509-456-4703
tf521 P01
#893 P01
PI'i'U,.ii1C'h NaARif•: 910)04664 -4'I4:ICATION DAIE. 07/31/91
N.irW111 ltlxkr+iio'I . f11df IS NOT A kE:F,MTr' 4k,e. M
0 fd+ COMMENCING WORK WITHOUT it PERMIT
PATE;
S71L. 'TRhrI 6608E 1='TH AVf:
ADDRESS II-'OICANF WA 99212
PARCEL iP., 241.533-0413
f i•.ktI :I"r '.,Lili." RESIT.FNCF'. ADD- DINING WON & COVERED DECK
002453 PLAT NAME'
Iib riCK12
:IAEA ^ 0E')006700 LOT:.
4 LIF,_ RI "':, , i M DWFI-L.1NGs n
oIl.IN"R: �iy 1'RANY., S'}Iii:Vt§:N
API)f7f=:3S'^ SPU ANE AWA 9 12
C (IN I A(::T NAME::: STEVEN SPIRANT)
rARK S ADD TO XFOKAN;
/ONEr UR -3.5 DISrt.r
i WI )TFt72DEPT11n' 127 R/Wo-. 60
1 WATER 1'S'Y'
PHONE w' 509 53e' 636'7
BUILDING .SI rr11 f KS: E f:GNT.., NA LEFIu NA
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DEPARTMENT
WILDING
HEAL.TND:IST
PHONE NUMAE:Rm50r 5'34 6E367
k/GHr NA REAR** 7C
Qi
14444.444004060x4(44kkkkdbkfrr ,-.Ev'RW INFORM0I0N*44444(ki4W4444444443/4414441+44XMMlikkN
NEVICN (IMMII''NT':r. ,. _ APPROVAL ,',....,.-....r.. '-7_"fii'S/I
INCREASE 'CN I r1T COVCRA.:.P'
kkk4W1k4ki(n'd(1.400kkkdii{pk4kdlWM?rkf? (f.LIL7,1 H; ( "ERMIMi4d4k4444444((441444#*1144441040104144444
CONTRACTOR:. CANER PHONE:::
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NCALim Sij MfIX)gE.':
['IL hL I.INTV7 OCi^,L.EP� q:REQ PARII(rWer TMANDTCAPr•
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LUV_ ..................... _....3
COV DECK R-3
..,5 ADD R.. a
EM 1 j sr.RTr rinr:
r:S.-IDENTIAL VALUATION
!•fATECLI ROMARGF..
l::LIONTY SURCHAIaGF.
PERMIT I TYf F: FIE ;1Ml1'Ar AMOUNT! INT' PAID
IIIA DIN: NEWT .,.....0S
90,46 .00
VN
VN
40r)t I I.I)N: k CHANGE OF (ISE:*
nor IE;SR
162 SftaKlft N
C.a1:TICAI.. MA'f„, N
.0 FT
143
162
I?UANTI V
E'FIKICLES���H) M'Y: IALL+NP[EI..., I;t.C'1'iIA
F'F'tIN'1'Fttl 13'/ 1wEiNr,Et , L.1f+r7A
4.M4k Mi.Ait d4ukkkkkl04,kkkkkn''dtk4lidikk THANK YCII,I 4444tiek "AM MddM 141414Mkrt NkMk N4. lfkk' S If
VALUATION
1346.00
PIEE AMOUNT
1.00
4.50
12.94
AMOUNT OWING
9E1^46
98.46
Juu-.iii-•,1 tame Iu;ut RLTUF Sd OILVINU5d. - &Teff NU: 6S4ob-4ves
SUL-31-'91 09:35 [D:NERLTH SPO
#521 P02 .,._...._...
#693 PO2—.-.,--........
TEL ::94582243 N519 POi
ro #
I • •
SPOKANE COUNTY HEALTH DISTRICT
ENVIRONMENTAL HEALTH DIVISION APPPL.q /J
FINAL INSPECTION FOR SEMACS SYSTEM AT 63°S '
(numerical address or lot and block in plot or section, township, and range and road)
Pleass fill out in heavy dark line (felt-tippen or equal) with a straight edge. Plan
Le to include outline of structure (if available) as its position occurs on ehs prop-
erty. Identify by measurement actual location of septic tank, dratnfield linea,
drywall, or other on-site sewage facilities, properly lines closest to drainfleld,
on-site well (when applicable), driveway, and road frontage. Septic tank sates;
must be referenced to a known fixed surface structure,
NORTH
t
c - - 1Y' •---�----1
/s'
FINAL INSPECTION MADE BY
coMMENTS1
vu
14,0
1*10
/�. /,..-.r� s - '- Pr
SP RIS NAME) (DATE)