1990, 03-02 Permit App 90000704 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAYAVENUE
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
OWNER OR AGENT
APPLICATION 3 ce �Y0
DATE
Petfq
Pc ,2/ Z 7-
itT?ti-+ni)i r**i,i*. iF by ie
** APPLICATION 7in:vr*ikri
SITE STREE"i= 11917 E RAILROAD AVE
ADDRESS== SPOKANE AA >is 920
PERMIT USE:= RESIDENCE
PLAT4:= 003397 PLAT 1`NiA i"Isi::=:
I _ to i =
4 OF BL..DG, - :DWELLINGS=
OWNER= Gi-I 1-HR7:E:, RALPII D
•ST!RET= 13423 E 32NDAVE
ADDRESS= SPOKANE WA992.16
, T r AME=:: ri...O4'S) G.:TTEN
CKS: FRONT= »0
DEPrARTME:N-
BiU:LL DING
BUILDING
BUILDING
ENGINEER
HEALTHDIST
PINE
LEFT= 27
WEST
ONE=
1)- H=
PHONE_. 509 9
PHONE
509 922 -.
P:::1r..yy..F(..bi * * * Py d! hi * * ie 3i..h. REVIEW INFORMATION §i-.)r .x * *.p;.*.y}:r.:* ii—yt * Ly.x..x..yg.i<..h..h..a; ,; •h'r
REVIEW COMMENTS
Fi._AN. REVIEW REQUIRED
SETBACK REVIEW REQUIRED
ERGY PLAN REVIEW REQUIRED
APPROACH/FLOOD PLAIN/DRAINAGE
NEW OR ADDITIONAL WASTE WATER
'It''P: IC P: * ),i'Ik .yl..+A.:l+: ')t' :¢'P: 'Py A''Il Pi * $l }i' i@ dt'iiDi'Li il' * # i,y'R BUILDING
CONTRACTC:IR=
STREET-::
ADDRE2 =
I'irw=
DWELL UNITS=
BLDG; W X D =
:I •?G==
.yi..yi..yf::1,: 'yl3 k
CONTRACTOR=
..w
A1)])IE
RALPH G iU 7 H R I E CO
13423 E 321'`!:1) ST
SPOKANE WA 99216
OCCUR.. LD=
SQ FT=-
''. iANDICAE=
APPROVAL_ COMMENTS
lc ..-. �.J012
Cry
sS
.._ _ 1 1 9,y .g..yi.*.yS..k..yi..p,..)i )i 8,i *.k..g..k.:ri tii...y;.:ni * ii..y. e .P: * * * o;
PHONE_ 509 926 1561
AUT)7: T :;;C1N= CHANGE. OF USE=
,in ii ro;e PLUMBING Plii:RMT
THR.CE CO
SPOKANE WA 99:5.1
G!_.O R I A
Gi._ORIA
T-iANKK YOU 3:n;
.SEWER:= N ;1YDRANT= j',1
')t' $y Ti'hi'h:' 95.y(..h...... * *v: k' 3 A.. *.'.... :* x' ik 9y';F Ti'h.' 3'i 3
PHONE= 509 926
1561
4
` c 535 62
SPOKANE 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, ores a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
1 NUMBEF1._ 90000704
fP'P: 9: 'P: '1k': N: 'Jb'P: N:
PERMIT USE=
A `PL],:Cr
AVE
"`A RIDE Ili= 0
'r REVIEW INFORMATION
^1RTMENT REVIEW COMMENTS
BUILDING FLAN REVIEW REQUIRED
BUILDING
_LDI4G SETBACK REVIEW REQUIRED
P; ..DING ENERGY PLAN REVIEW ... ,.. 'al
ENGINEER APPROACH/FLOOD ,'i... ri s. {'J, l:i n. h=:.
NEW OR ADDITIONALADDITIONALhi(-,a WASTE t::. WATER _...__..___....__.._.........._..__...___.__.
sar 1� 3k....__'.PE ITT i,ynlxyyv9df it?tA.
APPROVAL COMMENTS
CramCRAC1
...,._T=
r::i'GSI:,�i,`iS=
BASEMENT U
DECK
RESIDENCE
R-3
{ - 3
-" 3
ITEM DESCRIPTION
SI.Di N J. AL,
.
9410
UTILITY= WWF
VN
St;; FT
880
80
940
PHONE_ 509 926 1 561
i =
SEWER=
IV k'd D ANT=
VALUATION
)
QUANTITY FEE AMOUNT
4i4,50
4,50
66.32
-' If P;C.. t. ... .. .... .. .. .. .. .. ........ ... ..
.!1"i :l;i .l. (V::: i"i_. i'11°:.. i 'x"Ji")::a)r:.Y.R.Jt'Jt",C9:lt It �)+i')fi@'ltltD: '1t'�fi Ti dt lY Jt'a Jt 9t
FEE AMOUNT
SPOKANE 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
IEC T ,FUME;:
i:.i,i 1 a * * ha Yi fii it v,i ni id. .******** ii*'
YMENT DATE
03/06/90
TOTAL DUE=
PERMIT TYPE
„F;�. r
L_'s..lPIai1Ni;. PERMIT
. "i EJ
•MO;,.,,.r AMOUNT
533,32
dB N. dikdfi x..F..g.:pi Ti .p..)t** — — ' YOU .1H,
CEIF:T4 PAYMENT
533,32
AMR. OWING
_0:
......................
or.y. u::o- v::�,: v: �re>,: �n: a::
k P: 'Pr'k':: P:
Spokane County rir
DEPARTMENT OF BUILDING & SAFETY 86 drg
rEaK
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: (9 it$ g - / 3D 7
STREET ADDRESS: . / 1 ?/ 7 /, , e0,4 ec_
CITY/STATE/ZIP: ,5-19P a ak-/9A. % ?z-Jh
SUBDIVISION: RAI /, J s T /s r
BLOCK: 3 LOT: 7 ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
WATER DISTRICT: Q v/ AJ
a OF BIIILDINGS: � # OF DWELLINGS: � OWNER: RA-L,00,,A„ Gs %/2/ E PHONE: - 2 C - /S-/
I
.MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: PHONE:
SETBACKS: - FRONT:
PERMIT USE:
LEFT: RIGHT REAR:
**iciclt****************k****************************:ck *k 4 k k **********
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: �1&� rt cc iszPC-
CONTRACTOR: j .617lh / �. PHONE:
MAILING ADDRESS : / 3 g Z 3 3 2,1,0-
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: _%` REMODEL
6/7��lgc
ADDITION CHANGE OF USE:
DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT:
BUILDING DIMENSIONS:
XZ
REQUIRED PARKING: # HANDICAP:
STORIES:
(WIDTH X DEPTH) SQ. FT.: / C3
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
1
r
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
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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