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1991, 06-26 Permit App: 91003714 ResidenceAz,//i4/51 // 3 /1/3 Spokane Count u,4X-J ,",4 Spokane Y DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: Ll .5-513 l7(7404/ STREET ADDRESS:d. 75 / Z CITY/STATE/ZIP: SUBDIVISION: /3c-ve/ZL_i f �i/A 1s7 /444 . 1 f° BLOCK: 3 LOT: / ZONE: DISTRICT: LOT AREA: F/A: WIDTH: ?Os DEPTH:/'/ R/W: # OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT: EWS-rri2N Spok",„6- OWNER: jJb/2_TH%AIL ST 146M S MAILING ADDRESS: / . /3402( /g) PHONE: -12.. -657K CITY/STATE/ZIP: jlr›olcKs,uE' ( 112.12 CONTACT: 'j-`sc) w. ),:hf upLb PHONE: SETBACKS: - FRONT: 367 LEFT: /p RIGHT: Z o REAR: PERMIT USE: .Q S•J` 00-0)6-- / Y a Vot3 * ************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: /44/'7//4/ , /J £ ? CONTRACTOR: PHONE: MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NU' ".BER: MAILING ADDRESS: (Street) (City/State) (Zip) DESCRIPTION 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 PLUMBING WORKSHEET/FEE SCHEDULE NUMBER OF UNITS X EACH UNIT = AMOUNT z 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 S PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) CONTRACTOR: LICENSE NUMBER: (Zip) PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVEJINSERT GAS WATER HEATER GAS EQUIPMENT <100,000 BTU (INCLUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOILER/REFRIG 101-500M BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1,0001-1,750M BTU BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 TONS VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x 25.00 = x 10.00 = x 12.00 = x 15.00 = I x 1.00 _ x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = / / ,3 / SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE _ $ SIGNATURE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 1 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 &WM PROJECT NUMBER= 91003714 APPLICATION DATE= 06/26/91 ** **** THIS IS NOT A PERMIT *406***• PENALTIES WILL... BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT F'ARCF"E �_�, 443 tw 04,+134_._-- PAGE= 01 SITE STREET= ADDRESS= PERMIT USE:-. I='L_AT4= BL..00K:: AREA OF BL..DGS= ADDRESS= 7512 E BEVERLY DR MEAD WA 99021 RESIDENCE NATURAL.. GAS 0001 90 PLAT NAME LOT-== F/A- i 4 DWELLINGS= Np •�• HIJ�# r 9:? 10ME5 F' i:{ i SF' KANE WA 99216 BEVERLY HILLS 1ST ADD. i ZONE= UR 3,5 DIST4== F WIDTH-: 70 DEPTH== i sit i WATER DIST = SPO CO WA1 PHONE= 509 926 097£3 ,W= 50 R DIST41 CONTACT NAME=== TED ARNOLD 10 PHONE NUMBER= 5Q5 926 0978 BUILDING SETBACKS: FRONT - mo i i..EFT= latJA.N RIGHT= t.l REAR 1 ********3**3*3*3r****3***%4**3•3i3**3* REVIEW INFORMATION ***3•aux• ********•x* ******** DEPARTMENT BUILDING BUILDING ENGINEER HE ALTHDIST REVIEW COMMENTS PLAN REVIEW REQUIRED SETBACK REVIEW REQUIRED APPROACH/FLOOD PLAIN./DRAINAGE NEW OR ADDITIONAL WASTE WATER 3k }t• X• 3*3F3i•363k 3i X•#*XX•3E 3b3kX• )E3FXX•3E3ei6X•3t•3i X•X• X CONTRACTOR= STREET=: ADDRESS NEW= DWELL. UNITS= BLDG W X D = REQ PARKING= NORTHWEST ARKING==- NORTHWEST HOMES P 0 BOX 141295 SPOKANE WA 99214 BUILDING PERMIT X REMODEL= i 0CCUP s L.D= 39 X 40 SQ FT= :HANDICAP= DESCRIPTION BASEMENT IJ DECK ECK GARAGE RESIDENCE GROUP R-3 M-1 R-3 ITEM DESCRIPTION RESIDENTIAL VALUATION STATE SURCHARGE COUNTY SURCHARGE *.*3F*3#3{X•343f 363E*3BX38*3i•m33R3E33*3t•3c3@3833* TYPE VN VN VN VN APPROVAL COMMENTS a.:27-41/.._._.. A ,ed-kaa(its 'LAI ****3i•#X•#3E•**jii• :*********:,i.„:„:,... PHONE= 509 926 0978 ADDITION= CHANGE OF USE= BLDG HGTµ: 24 STORIES: 1296 SPRINKLER= N CRITICAL MAT= N SG? FT 825 96 483 4.296 QUANT T TY Y Y ME=CHANICAL_ PERMIT VALUATION 7.25.00 384.00 3381.00 57024.00 FEE AMOUNT w._._-.500.00 4:50 80.00 3i•3i•3i•*k3E3i-3E3fX•3F3E****X•X•3E******** CONTRACTOR= QUALITY HEATING & A C PHONE:~: 509 467 4032 STREET= P 0 BOX 696 ADDRESS= MEAT. WA 99021 ITEM DESCRIPTION GAS WATER HEATER GAS HTG E1 UIP< 100, 000: BTU GAS PIPING~ GAS LOG QUANTITY FEE AMOUNT i 10.00 i 12.00 3 3.00 10.00 *3c3h#****313***3k4***3F**3i* *3G**3!3r* PLUMBING PERMIT CONTRACTOR= ALPHA PLUMBING & HEATING STREET= 5805 E SHARP AVE ADDRESS= SPOKANE WA 99212 3t3s:3h**3i•3E3@*3i*3E3i*3{•*3a**#3k3h3i#X*X•3i)l ti• PHONE= 509 535 07.27 SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 1 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 PROJECT NUMBER= 91003714 APPLICATION DATE= 06i26/9i PAGF ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS 2 12,00 SINKS 2 12.00 SHOWERS 1 6.00 BATH TUBS i 6.00 KITCHEN SINKS 1 6,00 DISH WASHERS 1 6.0 CLOTHES WASHER 1 6.00 FLOOR ?RAINS 1 • 6.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 584.50 .00 584.50 MECHANICAL_ PRMT 35.00 .00 35.00 NUMBING PERMIT 60.O .00 60.00 _..___..679.50 .00 679.50 PROCESSED BY: JOHN LARSON PRINTED BY: .JOHN LARSON *** •***•h•**x•****** ****•x****** THANK YOU ********************************5( oml ssrcirr rims. LIf1lAi. UN SI,L!flli! 1fr'�4+. 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