1990, 03-09 Permit App 90000794 MH AdditionSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
-SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. 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/application 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
(' NU iE I I = 9o00 794 n k _
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APPLICATION
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SITE STREET= 211 N FLORA RD PARCE:L.4 = 13544-0908
ADDRESS= GREENACRES WA 99016
PERMIT I.JSE=
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F'LAT0=
BLOCK=
A R E r1 =
OF iLDCYS=
OWNER=
STREET=
ADDRESS =
MOBILE I'•IOiM
00 756 PLAT NAx'1E=
9 LOT=
00000000 I= /A=
r DWELLING S =•
BARRIER, JOHN�•JR
211 N FLORA RD
GREENACRE.S WA 99016
CONTACT NAME= JOHN BARRIER, JR
BUILDING SETBACKS: FRONT= 60 LEFT::=
V E R A
ZONE= AGRI
r' W.I.D T H= 150
D I= I T 1 i ::=
PHONE::= 509 928 5930
PHONE NUMBER= 509 9r';?
100j RIGHT= 15 REAR= 200+
590
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DEPARTMENT
BUILDING
BUILDING
BUILDING
I-IEAI._ i•FDI:ST
REVIEW COMMENTS
F';._;' 7E'VIEW REQUIRED
SETBACK REVIEW REQUIRED
ENERGY Pi...AN REVIEW REQUIRED
INCREASE IN LOT ...:: 'ER:AGE
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CONTRt CTOR= OWNER
NEW=
. DWELL. UNITS=
BLDG W X D =
REQ PARKING=
REMODEL_ =
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APPROVAL Cifl*1ENT •
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ADDITION= X CHANGE OF USE
BLDG HGT= STORIES=
448
PLUMBING PERMIT
PROCESSED BY: .JUL_IE SHAT T O
PRINTED BY: JULIE ;M TTO
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SEWER= N HYDRANT=
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Spokane -County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA .99260 (509) 4564675
PARCEL NUMBER:
STREET ADDRESS: 71. 0 7/ �(o ✓ of ,
CITY/STATE/ZIP: 6-k,--2 0 OI C v- e. S w.', . i'd 0 /G�
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
INFORMATION ORKSHEET
OWNER:
.MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
PHONE: ,5O ? - 30
Gr -‘? r tit
PHONE: -
SETBACKS: - FRONT: rip() LEFT : 1 C GrRIGHT / 67-1;REAR: J.n
PERMIT USE:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: -
MAILING ADDRESS:
NEW: REMODEL ADDITION CHANGE OF USE:
4
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:_
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
CONTRACTOR:
(Street)
MAILING ADDRESS:
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
(Street)
(City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER OF
FIXTURES
X EACH
FIXTURE
= AMOUNT
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
x $6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
1
+ $ 25.00
EQUALS: TOTAL PERMIT'
FEE DUE 1= $
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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