1989, 06-13 Permit App: 89001723 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456 -3675
1 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 agreeto 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 LATE
PROJECT NUMBER= 89001723 DATE= 06/13/89 PAGE= 01
APPLICATION
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SITE STREET= t ! _! ' N i A d N . N R i r R _ _ . » r c : _ v _. !
ADDRESS= SPOKANE WA 99216
6
PERMIT USE= RESIDENCE
1:f , . 004343 P L A T NAME= i.._
BLOCK= t 1 ! .... ZONE= t• :' _.. Di • A.....
"v OF a? L l) # v,.: = •It• DWELLINGS=
OWNER= ' #'M ri .: f+ HOMES
STREET= 08 E : ;.. #OR ST
ADDRESE= SPOKANE WA 99202
509 535 02
CONTACT NAME= Z ({ ;t,P Si PHONE NUMBER= 509
... _. _ ....
BUILDING LL . y C : FRONT= F RIGHT= 25 REAR=
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iT.
DATE
REVIEW COMMENTS IN/OUT INITIALS
DEPARTMENT NAME
............................. ...............................
BUILDING .
..............
PLAN REVIEW REQUIRED
890613 GMW
S C� `D(,AU 1�:� 6-1e)--
/3/889
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BUILDING :.r SAFETY ENERGY ' : t" REVIEW L_ k d .
66YAro017.. . G c 0
PHONE= -VIRONMENT AL HE, LTH NEW OR ADDITIONAL WAETE WATER
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* INFORMATION WORKSHEET
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PARCEL NUMBER:
STREET ADDRESS:
CITY /STATE /ZIP:
SUBDIVISION:
s-lo• - ()7Cz-' k)
4 D / / A> ' ���I
Lr / Coq 7" 88_
BLOCK: LOT: ` ZONE: f * DISTRICT: f
LOT AREA: F /A: WIDTH: DEPTH: R /W: �t j
4325
# OF BUILDINGS:
OWNER:
# OF DWELLINGS:
14 r m Yri IA/
MAILING ADDRESS: S) 0 8 o p'&. 2+.
CITY /STATE /ZIP:
CONTACT: x g. 11.-„
WATER DISTRICT:
PHONE: �9 - .� `�S to 60
O 1-f1 qq -26
(Pt9 P itcf
SETBACKS: - FRONT:
* PERMIT USE:
*
*********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
*
LEFT:
PHONE: .5� - s3 s - 4o (c 0 Z
RIGHT:
REAR:
*
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: /4 / /4 i h. f-J / 11, I D
CONTRACTOR: ! / /n iq 41 �''U `YJ '-s, — 1-Pir' PHONE:
MAILING ADDRESS:
*
! o f3 !~h o K
* ARCHITECT /ENGINEER: PHONE: - -
*
MAILING ADDRESS:
NEW: REMODEL:
DWELL UNITS:
ADDITION:
OCCUPANT LOAD:
BUILDING DIMENSIONS:
*
i
CHANGE OF USE:
BUILDING HGT:
X (WIDTH
* REQUIRED PARKING: # HANDICAP: SEWER
*********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
STORIES:
X DEPTH) SQ. FT.:
(Y /N): HYDRANT:
44d * * * ** ** ***14441 *** **44444X4** * * ** *': ********* * * * * * * *** *** *tt * * ** *t * * ** * *****
PLUMB INC INFORMATION '*
* CON T R L I C. : 4
* _
* CON TRACTCR : PFCNE
4
*
* NAILING ACCFESS: *
*
44 *4 ** 44444444 4444 44***** 44**** 4********* 4***** 4 * * * *t *4 * *4 *44 *4* *t* ** * *4 * *****
x-
4
*
*
*
* CONTR L1C4:
*
* CONTRACT ,R :
4
* MAIL INC ACCFESS:
*
* ELECTPIC: CAS: C I L :_____ CCAL:__ l.CGO:___ SCLAR :___ I-EAT
MECHANICAL INFCRMATIGN
4
*
244244444444 2t2444244 ** **4444424*** 24,4.4 * * * * *4 * *t * *4*42 *2 41L444g 4t *44(i g 0 *e
** * * ** *+ ******** * * * * * * * * * * * * * * * * * * * * *t * * * ** * ** ** ** * * ** * * * * * * * * ** * * * **** * ** ** ** * *•
MECHANICAL FEES PLUMBING FEES
4 0 -
ITEm DESCRIPTION
PROCESSING FEE
DJCTWORK SYSTEM
wOCCSTCVE /INSERT
GAS HATER HEATER
CAS NTG EOUIP <10C.000 >BTU
GAS HTG EQUIP'100,000 BTU
GAS PIPING — 8 OF UNITS
NEATPUNP 1 -100M eTU
HEATPUMP 101-500V 8TU
HEATPUMP 501- 1,000M BTU
HEATPUMP 1,001 -1750' BTU
HEATPUMP +1,750M BTU
REFRIG 1 -1OOM BTU
REFRIG 101 -500M BTU
REFRIG 501- 1,000M BTU
REFRIG 1,001— L050M BTU
REF -RIG +1,750M BTU
AIR CONDITIONER 0-3 N.P
AIR CONG IT 1CNER 3 -15 hP
AIR CCNDITICNER 15-3C HP
AIR CCNC.IT ICKER 30 -50 HP
AIR CONOI T I-GNER '50 HP
VENTILATING FANS
EVAPORATIVE CCOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1 -10000 CFM
AIR HANOLER 100004- CFM
NLKBER CF
YES OR NG
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATE: TUBS
KITCHEN SI NKS
DISH WASHERS
GARBAGE OISPCSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC MATER HEATERS
FLOOR DRAINS
FLOCK SINKS
BAR SINKS
ROOF CRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
f
NUMBER OF
YES OR NC
1- —
—�
TUN- 16 -'89 13:34 ID:HEALTH SPO
Contractor: Himalaya Domes, Inc.
Address: 4801 N. Barman Rd.....
Legal: Lot D of Short Pla 88 )
Scale: 1" - 20'
■
88•�
TEL NO:509- 456 -4716
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TYVE OF SEWAGc
LINEAL OR SQUU' F
TRENCH WIDTH,
DEPTH ROTA ORI iNAL_f;
OF SEWAGE SYSTEM:
OTHER,
SIUNATUR
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