1987, 10-22 Permit App: 87003587 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:::: 87003587 DATE= 10/22/87 PAGE:::: 01
APPLICATION
***at**3{3k**#*•u• •**3i•3t•*****3t3i•***x3k*•x* APPLICATION
***********• 3(........... 3i3E**•itit3r.•*3E*
SITE STREET:::: 14509 E 20TH CT F'ARCE:L...;I:-:: 26542-3502
......fir;(;;.?
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE
PL_r•AT0:-: 003935 PLAT NAME:::::: I...E::I..II: FIRST ADDITION
BLOCK= 1 LOT= ? !()1SIG:::::: SFR D.I.ET:r F.
AREA= 000.11014 F•/( = A WIDTH= 70 DEPTH= 159 50
:II' OF L:I...I)GS::: 1 :": DWELLINGS= 1
OWNER= Ko:i•T•I:::I._E::cK•r ZCi]:1...DERS PHONE= 509 466 0813
STREET= 12024 N HEMLOCK STT
ADDRESS= SPOKANE WA 99218
CONTACT NAME= OWNER PHONE: NUMBER=
BUILDING SETBACKS : FRONT= 30 L_E:F_.T.:::: 20 RIGHT-:: 15 REAR= 40:0
3t•*3t3t*3i*u3f•3r.•3t**3i•*3i3 *3b•k*3r,•*3t3cx*313k3s REVIEW INFORMATION • ; *3#***3kx*m:3t.) 3i. 3E* *3r..*313c: 3t3i
I)ATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
BUILDING & SAFETY PLAN REVIEW REQUIRED 871022 •_)E::F:.
6-.2pRev
..
COUNTY ENGINEER NEW COUNTY ROAD APPROACH 871022 ,JE::I:
Iflorro-o-eze
ENVIRONMENTAL HEALTH INCREASE IN L..C..T. ..,i.JSdE::F�AGF 87102. •..)-
.... e12..........._17_-._/06.. ...................... AD'S.....:::
E.i.�-4K........_......_......... it/ -
*x x.yr..3r..;r.•3{3t...3e 3e 3{n 3t•.***• 3r•*3r:• *-u •r:-•*•x••k BUILDING I'I::.R M.I. T •k 3'hi)f ii*3i.•*3f 3i,3{•3t 3t•3t•*•ri 3i•3t,•.y f H:3{3e 3e:ii h..yf..h:*
CONTRACTOR= PHONE=
STREET::::
ADDRESS::::
NEW::: REMODEL= ADDITION::: CHANGE USE::::
DWI:::I...I... UNITE= CII I:;IIP.: LD:::: BLDG I-ICYT•= STORIES=
:I:l": ::::
BLDG; W X D :::: X EQ
I'4 I:"i hi PARKING= :{i:H i I'•!I):I:(:fA F:':::: SEWER= HYDRANT=
i
Y 1
**********************-********************************************************
* INFORMATION WORKSHEET *
****************************************************************.**************
* PARCEL NUMBER: .(,,-S`�-2-f " -"' 3 5 v ? *
* STREET ADDRESS: '., I46CA ). C�
* CITY/STATE/ZIP: 7610,....k. lam.', *
y *
* SUBDIVISION: L S� A00Ni *
* BLOCK: 1 LOT: "� ZONE: DISTRICT: *
* LOT AREA: llo)`t F/A: WIDTH: 7o DEPTH: MI R/W: *
* *
* # OF BUILDINGS: 1 # OF DWELLINGS: 1 WATER DISTRICT: th C.Pr *
*
* OWNER: \o5s1't-/ tJ :�ei-zS PHONE: -Y0C -®813 *
* i 'i *
c
* MAILING ADDRESS: {J , 1' 24 1-4‘..-"NAL, -
* *
* CITY/STATE/ZIP: t--Pr S2kc
* *
* CONTACT: \tt tYa--k PRONE: - - *
* *
* SETBACKS: - FRONT: 3,o LEFT: n-0 RIGHT: I REAR: *
*
* PERMIT USE: *
*
******************************************************************************
* BUILDING INFORMATION *
*
*
* CONTRACTOR LICENSE NUMBER: bS1tiAIQVDA
*
* CONTRACTOR: • o ;SLE-c. .Th CL . ` S PHONE: - 4(43 - d'I3 *
*
* MAILING ADDRESS: t--1 , 1 2a L' Htv., c=i-
* ARCHITECT/ENGINEER: t) P PHONE: - -
*
* MAILING ADDRESS: *
*
* NEW: '?C REMODEL: ADDITION: CHANGE OF USE:
*
* DWELL UNITS: ' OCCUPANT LOAD: BUILDING HGT: STORIES:
*
* BUILDING DIMENSIONS: 4"17- X 44° (WIDTH X DEPTH) SQ. FT. : 'WI- *
*
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: *
******************************************************************************
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* PAILING ACCFESS :
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* CONTKACTR : FFCNE :
* MAiLINC ACCFESS :
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MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION tLKBER CF ITEM DESCRIPTION NUMBER 0�
PROCESSING FEE YES OR NG PROCESSING FEE YES OR NC
OUCTI4ORK SYSTEM _ TOILETS _ f
aOCCSTCVE/ INSERT ___ SINKS _2 _
GAS W 1 WATER HEATER _ SHOWERS.
GAS F:TG EOUIP<10C.000>8TU ( — BATT: TUBS
GAS F,TG EQUIP+100.000 BTU KITCHEN SINKS
GAS PIPING — !l OF UNITS _ DISH WASHERS 1
HEATPUMP 1-100H eTu GARBAGE OISPCSAL
HEATPUMP 101-500t BTU CLOTHES WASHER
HEATPUMP 501—I,COOM BTU - UTILITY SINKS
HEATPUMP 1 ,001-1750M BTU ELECTRIC LATER HEATERS
HEATPUMP +1 ,750M BTU _ FLOOR DRAINS
REFRIG 1-100M 8TU FLOCR SINKS _
REFRIG 101-500K BTU BAR -SINKS
REFRIG 501-1,000M BTU ROOF CRAINS
1EFRIG 1,001-1,750M BTU _ _ LAWN SPRINKLER _
REt-RIG - +1 , 750M BTU . _ SEWAGE EJECTOR _
AIR CONDITIONER 0-3 HP — WATER SOFTENER
AIR CONOITICNER 3-15 hP _ URNAL
AIR CONDITIONER 15-3C HP DRINKING FOUNTIAN
AIR CCNC.ITICNER 30-50 HP _
AIR CONOITI-GNER +50 HP
VENTILATING FANS •
EVAPORATIVE COOLERS
HOODS
CLOT t-ES DRYER
RANGE _GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CIM
AIR HANDLER 10000+ CFM
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USE 4" DVC PIPE ASTM.D.3034
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