1989, 03-14 Permit App: 89000479 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 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 r)ATE
PROJECT NUMBER=
t.a.... r'}r•}ye!:':i`'is!... ,::t DATE= 03/14/89 33.`j.; _ 01
APPLICATION
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I
SITE S»• !T» 2811 uBOLIVAR D 4"CEa_26543
ADDRESS= SPOKANE 3:i(':1 99037
PERMIT USE= RESIDENCE
P .- "t .,t..... 004189 PLAI N »:: EVERGREEN
j.. .. i': C:' + ! E_E... (WAS
;., •i •. » BREAK
BLOCK= 2 LOT= - = 2 ZONE= i::! %:r :. e U ... 1 .L :. + 1 L::::: �..
OWNER= SMITH, BILL
EET= POB 14084
ADDRESS= 1:`is Oj;:•.: •i••' ,, 99214 9"i rt
PHONE= 509 922 0782
CONTACT NAME= Mil
, 7 t
NUMBER= 509 922 0782
BUILDING -`' E i ,.. A i.., K S' . FRONT=
`{..I I ..!_ •... t"} LEFT= -.. 's RIGHT= 1• I • - .- PHONE i.�. = i::y R::_ 55
*********************K*******
REVIEW
INFORMATION
DEPARTMENT NAME REVIEW f..,i?:'iM::.NT,
!-"..! .. L.. !:.L I'•?'. r '_, SAFETY PLAN REVIEW .':!._.:.,._.l.l''.!...is
BUILDING :r SAFETY ENERGY ..:. i REVIEW REQUIRED
COUNTY ENGINEER NEW _ !
COUNTY ROAD APPROACH
Ar ;k i!ti in -r * •iEr * in.• ;v; •U; ...!; . •i.§ :i% .:' :;;. ,e: ,j..:; .L. i * ,!:..t{ *
DATE
IN/OUT INITIALS
390314
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.. !.........:... 1.:....... r....•.:•. !•. A. �. �. r!. •�. 5t •t!i 'Ai :•!i :1l. '"i :Jr :Ili .�:� {»1 .I. L.. �.-i .t. I'•{ +.:, �'" G:. I''--. S' i 1. 'A: iC :n: •A::a::i+: 3t i%::II::�: •A: •�: '1+: 'h :R::�: 3$ ',Ei 3'i 'Ai i=r i=: t`•!r ii• iii '.t:
CONTRACTOR= 1.1 i..: ASSOCIATES
STREET= P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
•#I=•W::. t:
DWELL UNITS=
REQ PARKING=
44
PHONE= 509 922 0732
REMODEL= ADDITION= CHANGE .. O ,::i•.
I..7 '..: i.✓U!' :. {. iJ= BLDG HGT= .... ! :..! STORIES=
40 SQ FT= 1583
4HANDICAP= SEWER= yr HYDRANT= r:j
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
INFORMATION WORKSHEET
40511 /5c2 -
(726/7 Sr
,--,ea..;?;?
Evg X( -34-e fcic)
BLOCK: LOT: 2— ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: /I/7Z 5- 5/ ,e9s-jc
MAILING ADDRESS: ".,/, Ke225757
PHONE:
- 12 -
CITY/STATE/ZIP: 51,-.20/6p-v.L.,___ c.44Z
CONTACT:
0
SETBACKS: - FRONT: oe( LEFT:/.J
PERMIT USE:
PHONE:
,/
RIGHT: 2J REAR: '
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: a2/Z.r,d7S
CONTRACTOR: /?2'K c 3PHONE: -
MAILING ADDRESS: VG, 441 /
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: K REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING HGT:
BUILDING DIMENSIONS: X
REQUIRED PARKING: # HANDICAP:
4i0/06-6it 773p"
124e7" q'
1
7Vo4
64/2 -02 -e -j,
STORIES:
(WIDTH X DEPTH) SQ. FT.:
SEWER (Y/N): HYDRANT:
CONTRACTOR LIC#:
CONTRACTOR:
PLUMBING INFORMATION
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR:
ENERGY CODE: WSEC:
NWEC: UTILITY:
HEAT PUMP
SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
**************************************,************************************
MECHANICAL 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
AIR HANDLER 10000 CFM
NUMBER OF
YES OR NO
PLUMBING FEES
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO
TOILETS 3
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
Y
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