1987, 11-25 Permit App: 87004057 Residence . ► _ ___._
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 DATE
PROJECT NUMBER= 8700405 / DA ; L= 11 /2',/ ( PAGE= 01
J . I ) ) : :: : : :: J * LJI ' ** {J { {S JS ; I *} f APPLICATION ; : 7 **: ; ; i* ; ( C7 : } fi ) ;) 2 ; Ll. .. ** .
SITE
. E amR. : i_ 13922 I 9 T" CT "A' .LLa . t : . ?tf, '» +
ADDRESS=
SPOKANE Lih'•± 99216
_`..
PERMIT USE= RESIDENCE
h14444/4Y1, 62/' 4C31-ki
PLAT0= 000000 PLAT NAME—
.1 LOT= 13 ZONE= SFR DISTO=
AREA= 00000000 F/A=•:» I... WIDTH= •: :. DEPTH= •j ;_ R:'I::=
r OF d . _ � » r h
.. . I ` s E_ ;
OWNER= H..t`'I t"t t...±" ? i••? HOMES, INC#... I''I"li_!#''{E:::: 509`9 ..i:9..: 6602
STREET= 104 S FREYA ET 0203'
ADDRESS= .'I::O,: N WA 99202
CONTACT N- I - Z{ ( i ' . a PHONE NUMBER= 509 iA i
6602
BUILDING N#5 • E I»,••I : + : FRONT= 30 LEFi = 6 RIGHT=
IG
71j] 3 :lt? Rh AP .4: k :lt..a *: *: *** REVIEW t :± t34i ; .ijs : i { . j: {: at .. jr} j. {: hjk l
DATE
t E
DEPARTMENT NAl'!::. REVIEW COMMENTS:.. .i.N:'O#..i t INITIALS
COUNTY! NEW COUNTY ROAD APPROACH
#"7�# .•....`• -.. ?.x�'':
477- ...... ................................ ................._.
FNVIRONMENTAL HEALTH N E#;it OR ADDITIONAL WASTE Uti :}�
......_»»..................__.._......_..........
CLOS..........»................ 44/67
S9 *: ^ : : : : } : .*. 3 . * ._ n : i* : {it% j BUILDING
I:_ ..i' .lj..Pi•}t 3ti'j?i)!:!i-iEt•ii{iE{-:ii:**:.[iE{•i?i ini 7i•j{-•1;'••i!r iur iii-ai•t?{•in-is;:*
CONTRACTOR= FIIM !I...!.a f i.:! HOMES .NC:: PHONE= 509 535 6602
STREET:::: 104 S I::I'?I...•,rA ST 203
ADDRESS= SPOKANE WA 99202
!•`•l:I::. , ::: X REMODEL= ADDITION= CHANGE USE=
�Q 2,‘ 3 13RS'e.rnENr 1 ,r4
2Asement WJF.N= / 09
******************************************************************************
* INFORMATION WORKSHEET *
******************************************************************************
*
* PARCEL NUMBER: 2 3 S-4 5 _ 0 p 03 kl. *
* *
* STREET ADDRESS: ) 3 c 2 Z: C-----,. 9 ___v LL. tr T- *
* i/
* CITY/STATE/ZIP: S o F--t-- v`._ Ck) 0- - *
*
* SUBDIVISION: �Y T L'1 iC' C.,c'LL Y - *
* J *
* BLOCK: I LOT: V ZONE: e DISTRICT: *
* *
* LOT AREA: F/A: WIDTH: 7 l DEPTH:• � 2 7 R/W:
* *
* # OF BUILDINGS: # OF DWELLINGS: 1 WATER DISTRICT: *
* l /
* OWNER: lb) ) A LA Vri /10 m S, TAI PHONE: �, - � S" ( 6 d Z *
d 417`
MAILING ADDRESS: 3, F :10,..3 *
k
*
* CITY/STATE/ZIP: �" k/1 /V r. , �� 9 9 a6 P, *
* *
* CONTACT: „,7n k A+ , /g I P i f;),. PHONE: SD, - S3 S"- Wiz O Z *
* t (
* SETBACKS: - FRONT: 30 LEFT: 4 RIGHT: REAR: *
*
PERMIT USE: 2lP L-
******************************************************************************
* BUILDING INFORMATION *
*
* CONTRACTOR LICENSE NUMBER: /4 I l'1 A 4./4 11(n I DE *
*
* CONTRACTOR: A/a) L// 4112 AL VII ES...j MN PHONE: 7 — sir?e-= Iii 60 2
* MAILING ADDRESS:,2, 10 4 l� ' drd4 -4../7 p... *
* *
* ARCHITECT/ENGINEER: PHONE: - - *
* *
* MAILING ADDRESS: *
* *
* NEW: REMODEL: ADDITION: CHANGE OF USE: *
* *
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: *
* *
* BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : *
* *
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: *
******************************************************************************
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PLUMBING INFCRMATION
t CONTR LIC# :__-- _—_--
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CONTRACTCR : Pt CNE :____-__ - _ *
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F MAILING ACCFESS:
*
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MELF-ANICAL INFCRMATICN
CONIR LIC # :
CONTFACTGR :
F MAILING ACCRESS :
ELECTRIC :_ (.AS :___ CIL :___ COAL :_— WCGO:___ SCLAR :___ t-EAT FUHP:___
:44**L**t*4t44t4ii4YLi***44t**t***************4******* 4*X itt44t4 4Ltt*i4 it4 g* * *
*******#********* ******************** ****************t********************Ig***
MECHANICAL FEES PLUMBING FEES
a8 lir WT
I1rM DESCRIPTION NLKBER CF ITEM DESCRIPTION NUMBER OF
PROCESSING FEE • YES OR NG PROCESSING FEE YES OR NG
DUCTWORK SYSTEM - TOILETS
wOCCSTCVE/ INSERT SINKS
GAS WATER HEATER SHOVERS
GAS HTG EQUIP<10C,000>3TU — BATH TUBS
GAS hTG EQUIP+100.000 BTU KITCHEN SINKS
GAS PIPING - # OF UNITS _ O ISH WASHERS
t;EATPUNP 1-10014 eTu GARBAGE OISPCSAL
HEATPUMP 101-500N BTU CLOTHES DASHER _
HEATPUMP 501-1,000M BTU • UTILITY SINKS
HEATPUNP 1 .001-1750M BTU _—_— ELECTRIC WATER HEATERS
HEATPUMP +1 .750M BTU _ FLOOR GRAINS _
REFRIG 1-100M BTU FLOCR SINKS _
REFRIG 101-500M BTU BAR SINKS
REFRIG 501-1,000M BTU _- ROOF CRAINS
kEFRIG 1.001-1.75014 BTU _ LAWN SPRINKLE; _
RE1RIG . +1 , 750M BTU . _ — SEWAGE EJECTCR _
AIR CONDITIONER 0-3 HP. _ WATER SOFTENER •
AIR CONDITICNER 3-15 hP _ URNAL
AIR CCNOITICNER 15-3C HP DRINKING FOUNTIAN
AIP. CCNC.IT ICNER 30-50 HP
AIR CONDI T FGNER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTI-ES DRYER __
RANGE _
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000+ CFM _ __
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'OUR PLUMBING
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