1988, 07-22 Permit App: 88002095 DuplexSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
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 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 DATE
:r( s i NUMBER= 18i020?: DATE= li/22/88 PAGE
:.. •;i
APPLICATION
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.::. STREET- 1 0 1 9 N B:.RD ��FEL,- 13541-0917
ADDRESS- f I WA 99212
PERMIT i S:... DUPLEX
1.../`.
A oociioJ
rh T s_ 000000 h.rNAME= UN!':..:.: a:•:
t„CCk= 12 LOT= srNL_ UR -7 1 ] ,.
ARlt:00000000F;":FWIDTH= SO DEPTH- 180 ;.::...
:/L:
...:
:ii: OF EtLt)GE= 1 4 TDWEJ ± INi• - 2
OWNER= D0Bl._E_R, BRIAN
STREET= .1011 - c• 7 C' RD
ADDRESS= SPOKANE W( 992i2
CONTACT NAME= OWNER
PHONE= 519 r:..... 0461
PHONE NUMBER= 50';' . 0461
BUILDING SETBACKS: FRONT- 25 I.. I`. Fi -• - 5 RIGHT= ..> REAR= ... •
.4r * ar..n..R..il: • : iai .x k i::'r . •}{..p...}y..}l....... * * * ?r: l .}I; }:i )li i i •*
DEPARTMENT NAME
BUILDING & SAFETY
COUNTY ENGINE:.
REVIEW INFORMATION
REVIEW :{d L..Jr'iMENTS
. ::,LAN REVIEW REQUIRED
tie
A...
ENVIRONMEN- HEALTH
COUNTY PLANNING
•' ** A: * • :.......Ft * }F * .k. * -}[• -:4 :? -A: -}c . :II:.it c :II_ * *
DATE
IN/OUT INITIALS
ef.i Lr. T .- 1 '•.
1'4 4.es-c-Lt ter4.,r3
Apr ec)
080722
S80722 . ....2 I.x Vi tii
esy
g/7-2
INFORMATION WORKSHEET
PARCEL NUMBER: / ?Stu - 0, 7
STREET ADDRESS: N , ID et. y l eS5 a-0 -
CITY/STATE/ZIP: Soon l<c-+-., COA c4 9921
SUBDIVISION: poi,./.0v- APP.
BLOCK: /7- LOT: W'. ZONE: t41' I -I DISTRICT:
LOT AREA: F/A: WIDTH: P1) DEPTH U' V * R/W:
# OF BUILDINGS: # OF DWELLINGS: 2— WATER DISTRICT: /-4(c4(014.
OWNER:
✓I,la /I)
L /t V
MAILING ADDRESS:
/o /! etkrs/- ,
PHONE: 9t4 - - 703
CITY/STATE/ZIP: SrO kr/b!0 E .W As 4
CONTACT:
ISV blat.-
99 a/ t.
PHONE: at - Q Yet/
SETBACKS: - FRONT: 25 LEFT: 5 RIGHT: S REAR: SO 14 --
PERMIT USE:
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
ab/e,. k-r,,,lie /aye
MAILING ADDRESS:
/o0 0,,0?sc/.q
PHONE: 9U4
ARCHITECT/ENGINEER: 6s4EU/S _ ritO?Qa PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: Go x /0 Z (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING:
x750 6)i;(2.-
# HANDICAP: SEWER (Y/N): HYDRANT:
S, lit ,
CONTRACTOR LIC#:
CONTRACTOR:
PLUMBING INFORMATION
MAILING ADDRESS:
********************************************************xxx***** xxx***sex***
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP
ENERGY CODE: WSEC: NWEC:
UTILITY: SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
*****************************************************xxx**********************
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING — # OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
aro rlannr,>n 1 ffff nTr
NUMBER OF
YES O' O
2-
11
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
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
NUMBER OF
YES R NO
to
1
3
•z
2
OdS H,l1d3H:QI SS:SI 88,78E-111