1989, 06-30 Permit App: 89002038 ResidenceSPOKANE 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 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 and anysubsequent
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 BATE
PROjECT NUMBER= 89002038 DATE= 06/30/89 PAGE= 01
APPLICATION
,! ,: * ?.: * : ,: •,:::::::::: '..:::..::: * .: • : s : * a :: ?.: ?. as :,?..i : * 'P i'` :..��.: ,:.: a::: a • a?. } ..}i.:!r.:_}::}t . t..�;. a::.}c :y: * * •:
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SITE i i.::.. !::'.... 2715 BOLIVAR RD .. «.. 26543-2403
ADDRESS= VERADALE WA 99037
PERMIT USE=
, E... i. i....+ i E_, r,.
PLAT4- 004367
BLOCK= 6000
AREA=
::I ;.•r- NAME= EVERGREEN POINT i 'r
LOT= 3000 ZONE= AGSUB DIET4=
F ii i•,.... !! P Z 85 DEPTH= 125
• :+i,t« 50
DWELLINGS= I
OWNER= P', ASSOCIATES INC
.
STREET= ice' 0 .}.!!.!' 1 4084
DRE
SPOKANE !}A 99214
CONTACT NAME= BILL SMITH
BUILDING SETBACKS: FRONT= LEFT-... RIGHT— IT REAR= f.:}
**************K***************
i:p: ::iiiit ?*i:( Si* 3*`.:R_tEW INFORMATION
.'..iFt?
PHONE— 509 922 0732
PHONENUMBER-
{ Is+.d;•:{i::'!::,.... :y +::t 922 2 ?':i' :`+"
DEPARTMENT NA4 E
BUILDING & SAFETY
BUILDING _. SAFETY
BUILDING & SAFETYCOUNTY ENGINEER
REVIEW COMMENTS
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
4
******************K*****
IN/OUTDATE
890630 t8MIf
ENERGY PLAN REVIEW REQUIRED 89060
NA) comlom 72611
PLAIN/DRAINAGE
9-9 F. -A/4 j/�,
89.06:30
GMW
GMW
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: 1405i/3
VA74)IT •
a#44 c
STREET ADDRESS: 2. 7 /..5 doL iv9 /z-
CITY/S XTE/ZIP: VE - 2 4 vg G e . GG/GCS 996
SUBDIVISION: /t) A/ it) 7- / c,- /.0,t%
BLOCK: a LOT: 3 ZONE: DISTRICT:
LOT AREA: /442.j"--
D,aZJ/ F/A: gr WIDTH: S� DEPTH: /2,f— R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: aj_ /t. 5 N /-SS o G• 7/1 'C -
MAILING ADDRESS:
/-4)( /108(/
PHONE: - o 28z--
CITY/STATE/ZIP: jr/(.0. • 2PP2/ y
CONTACT:
PHONE: -Z - PO -z-___
SETBACKS: - FRONT: LEFT: jf RIGHT : /7 REAR:
PERMIT USE:
****************************************************************************
CONTRACTOR LICENSE NUMBER:
BUILDING INFORMATION
Gtr, 2 S /VS as/J'. 4�
CONTRACTOR: RIX S 9 Ais'So< • Z;f/L PHONE: - Piz- o '8 z_
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: f HANDICAP: SEWER (Y/N): HYDRANT:
MECHANICAL PERM1T'APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 2 7 /I-- S.:* / G/vim
CITY/STATE/ZIP: j/f...7-1:e_4?,i_6 / Gl2c�" PARCEL NUMBER:
OWNER: j.!//l S V fin, -v-L-
MAILING ADDRESS: d AD?` /yG
(Street)
CONTRACTOR: Z4) , /t S c i i9-sZte c /14
PHONE NUMBER:
MAILING ADDRESS:
eix
(Street)
LICENSE
PHONE
/YvE`/
9yi/
(City/State) (Zi)
NUMBER: GU/lS.4r 9 /17G
NUMBER:
ccOok
(City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
'9G'Y
(Zip)
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PIING (5 OR MORE. EACH:)
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP)
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REFRIG +1,750M BTU
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
0-3 TONS _
3-15 TONS
15-30 TONS
30-50 TONS
+50 TONS
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_ _
UNLISTED 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
x$10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 4.00 =
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 =
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
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 2 %/J� w G/4,29n•
CITY/STATE/ZIP:
`//. itQ.- Plica PARCEL NUMBER:
y1a3
OWNER: L-1)AS atsuc /1'/L
MAILING ADDRESS:
/? o_ /fax /Yag (i
(Street)
PHONE NUMBER: 9'2_2 -678
(City/State)
(Zip
CONTRACTOR: l} // S c / i%Ss' c /.LC LICENSE NUMBER: G!//1 si9rQ,2 /,l /e�
MAILING ADDRESS:
PHONE NUMBER: y'Z Z 78 1-
(Street)
(City/State) (City/State)
i79zy
(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
3
/
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
1
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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