1987, 08-03 Permit App: 87002452 Residence SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
I;:ORTH$11 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
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SITE STREEI = 5407 E 16TH AVE
PERMIT USE= RESTDENLE w/o' UAHqUi:-
PLAT4= 002223 PLAT NAME= RIEGEL HEIGHTS ADD
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BUILDING y SAFETY .. c: :_ ?.I j'j•.i.tlit::.................................................
87003
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*************************'***********x'*****************************************
* INFORMATION WORKSHEET
******************************************************************************
* PARCEL NUMBER: 0 0 /
* STREET ADDRESS: E A /1- y-e,
* CITY/STATE/ZIP: 5, b K-2 A) '� �`'�-- l 2--1
* SUBDIVISION: g
* BLOCK: 1 LOT: ( ZONE: RI DISTRICT:
* *
* LOT AREA: F/A: WIDTH: j CSS DEPTH: 03 R/W:
* *
* # OF BUILDINGS: 2,- # OF DWELLINGS: WATER DISTRICT:
22- 77v
* OWNER: r a /J 4 L D l/', 74, (../4-1`(../4-16 PHONE:- -_5 4 *
* MAILING ADDRESS: :57( /Q 2 6401 0 *
* CITY/STATE/ZIP: 573 /` 41Q4-- . f 1 2 i *
* CONTACT: I PHONE: 771c *
* SETBACKS: - FRONT:S LEFT: 'RIGHT: `‹--- REAR: C.3- 114.,eq_
* PERMIT USE: I\ PE C✓ 11`'/ G � i2icco
******************************************************************************
* BUILDING INFORMATION
n 714 42
* CONTRACTOR LICENSE NUMBER: 1116 2 tP L--
*
* CONTRACTOR: #54A4 to9A/ 6 Qo' '57 PHONE: -"JZ L- 7 7(fU *
* MAILING ADDRESS: /C)
* 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:
******************************************************************************
2200 kir 52.8 C.A2
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NIUNLING INFCRMATION t=
* CONTR LIC :____
* CONTRACTCR : PtCNE :__—_—___—
* NAILING ACCFESS:
*
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MELFAN ICAL INFORMATION
* CONIR LICA :
* CONTRACTOR : FF-CNE : _—_--
*
* HAILING ACCFESS :
* ELECTRIC :__ ( AS :___ CII :___ CCAI :_— HCGD:___ SCLAR :___ FEAT FU►'P:___
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MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NLKBER CF ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NG PROCESSING FEE YES OR tO
DUCTWORK SYSTEM —____--- TOILETS. _
wOOCSTCVE/ INSERT SINKS
GAS WATER HEATER I . SHOWERS 2 _
GAS F'TG EQUIP<10C.000>BTU � BATH TUBS _ i. _
GAS HTG EQUIP+100.000 BTU _ �. KITCHEN SINKS _�__
GAS PIPING — 11 OF UNITS _� DISH WASHERS _L_
HEATPUNP 1-100M eTU GARBAGE OISPCSAL
HEATPUMP 101-500t' BTU CLOTHES WASHER —_
HEATPUMP 501-1.000M BTU - UTILITY SINKS
HEATPUMP 1 .001-1750M 8TU ELECTRIC WATER HEATERS _
HEATPUMP 1-1 ,750M BTU _ FLOOR DRAINS
REFRIG 1-100M 8TU FLOCR SINKS _
REFRIG 101-500M BTU BAR -SINKS _
REFRIG 501-1,000M BTU ROOF CRA INS
REFRIG 1,001-1,750M BTU _ LAWN SPRINKLE; _
RE1-RIG +1 , 750M BTU . _ _ SEWAGE EJECTOR —
AIR CONDITIONER 0-3 t'.P _ WATER SOFTENER • _
AIR CONCITICNER 3-15 hP _ N URNAL ____
AIR CONDITIONER 15-3C HP DRINKING FOUNTIAN
AIR CCNC.ITICNER 30-50 HP _
AIR CONDITI-GNER +50 HP
VENTILATING FANS
EVAPORATIVE CCOLERS _
HOODS
CLOTl-ES DRYER __
RANGE _
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10G0C CFM
AIR HANDLER 10000* CfM _ —
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