1989, 10-09 Permit App: 89003922 Addition SPOKANE COUNTY bEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I 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 HATE
'R,! + '•(.. r NUMBER= 09003922 DATE= 1 ,:1;`3:.}':; PAGE= 01
APPLICATION
********** ************* *****x-** APPLICATION jiN9jjjjjR*l *. jjjj : .! j ?* i1u; ; j
SITE C:. :.:• # #•....,.:. ! .... 1140 ? E 9TH AVE !'`F4 R L;...t...4...- 21543-9147
ADDRESS= SPOKANE f'•1;::. i:;ij:i, 99206 ADDITION
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PERMIT
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DIST +:
0 !.J#'• B...i/is,:;.... ; 0 DWELLINGS=
OWNER= ..ii..#Hr';si.tN , BLAKE PHONE= 509 928
3373
AVESTREET= 11407 E 9TH
ADDRESS= i..,Oi : :. i.. WA.: c:,9 06
CONTACT NAME= BLAKE jOHNSON PHONE NUMBER= !DW/
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DATE
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DEPARTMENT Ni:I.9t. Rl::.t:.!.E1W. COMMENTS # N/+..Jl.# ! #,.. ...{1_.....
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I"'L.r"}f', REVIEW I i r:-c..t.i a:i'.r D 8'91009
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ENVIRONMENTAL TiiL I"II::.F'i'1...Tll INCREASE
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.#.I' ::.G�'t,`:• .. r' LOT COVERAGE :391009 ,!•(.:
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.3,.ar;$j•*tri it•.rt•jL..P.*•!i••Pr**:k iii•*i3 ire;.jj.*.R.*;{r,.**i,...{(..{.:a>:.!i• BUILDING #.:1...R M.I. # i'**Jt•1}.**:>t***i4._p.****ft;?i.;t{;;ri.;r{.:,,;:n} i..,j..jj..i{..
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
J t:,:+l::.#...#... UNITE= l++..:t.:t.l D::« BLDG HGT== # # <..R1.1:.....
t'C#::.+_+r PARKING= 4HANDICAP= SEWER= i\# HYDRANT=
PROCESSED BY : STEVE HOLYK
PRINTED BY : STEVE HOLYK
THANK
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PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: C.,) D Y %h e
CITY/STATE/ZIP: rOrcf.-tl, L PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)� ) Pip)
l�
CONTRACTOR: l2 V1 ro3 P/vi b v's LICENSE NUMBER: O. / j0 -136 -P/
PHONE NUMBER: V Y B 7y y 8
MAILING ADDRESS: — ? 1 7 �X Ad - �a �J q X12-2 5
/(Street) (City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
NUMBER OF X EACH
DESCRIPTION FIXTURES FIXTURE = AMOUNT
TOILETS x $6.00 =
SINKS /j x 6.00 =
SHOWERS x 6. 00 =
BATH TUBS x 6.00 =
KITCHEN SINKS x 6.00 =
DISH WASHERS x 6.00 =
GARBAGE DISPOSAL x 6.00 =
CLOTHES WASHER x 6.00 =
UTILITY SINKS x 6.00 =
ELECTRIC WATER HEATERS x 6.00 =
FLOOR DRAINS x 6.00 =
FLOOR SINKS x 6.00 =
BAR SINKS x 6.00 =
ROOF DRAINS x 6. 00 =
LAWN SPRINKLER x 6. 00 =
SEWAGE EJECTOR x 6.00 =
WATER SOFTENER x 6.00 =
URINAL x 6.00 =
DRINKING FOUNTAIN x 6.00 =
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25.00
_ 1
EQUALS: TOTAL PERMIT
NOTE: MINIMS' '- RMIT F E IS $35.00 FEE DUE 1= $
I I
SIGNATURE / I ki.
Spokane County Department of BuildinA and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675