1989, 07-03 Permit App: 89002045 Residence4111111.11111.
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(g09",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, have readand understand the INSPECTION REQUIREMENTS/NOTICE provisions included hereiu agreeto comply nx same. All provisionsm/awm
and ordinances g,umm this tyof work willuoonm lied with whether specifiedhommn,nm./unuvmmnumatme/aovunvomm.,n rmit and any s
inspection approvals or Certificate,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 flATE
PROJECT NUMBER= 89002045 DATE= 07/03/89 PAGE= Oi
APPLICATION
********************************* APPLICATION ******************************
SITE STREET= 3021 % BOLIVAR RD PARCELt= 26543-0931PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE
PLATt= EVER2
BLOCK= 70
AREA=
OF BLDG%=
OWNER=
STREET=
ADDRESS=
PLAT NAME= EVERGREEN POINT 2ND ADD
LOT= 4 ZONE= SFR DI%Tt=
F/A= F WIDTH= 85 DEPTH=
0 DWELLINGS=
1
125 R/W= 50
W R % & ASSOCIATES INC PHONE= 509 922 0782
P O BOX 14084 `
SPOKANE WA 99214
CONTACT NAME= BILL SMITH PHONE NUMBER= 509 922 0782
BUILDING SETBACKS: FRONT= 30 *LEFT= i5 RIGHT= 20 REAR= NA
******************************
DEPARTMENT NAME
__________
BUILDING & SAFETY
BUILDING & SAFETY
BUILDING & SAFETY
COUNTY ENGINEER
REVIEW INFORMATION
REVIEW COMMENTJ
**************************
DATE
IN/OUT
PLAN REVIEW REQUIRED 890703
-2_et i ''01.‘upoz-
okJC7Ze-u*eta}
SETBACK REVIEW REQUIRED
ENERGY PLAN REVIEW REQUIRED
Vvi` Po
390703
890703
.2C -81
^~^^�
APPROACH/FLOOD PLAIN/DRAINAGE 890703
5 FA/4
-- -
INITIAL%
--------
rMW
GMW
GMW
Spokane County
DEPARTMENT OF BUILDING & SAFETY
PARCEL NUMBER:
A Division of Public Works
INFORMATION WORKSHEET
�p.N
W.VA.i,c) FAorll-
Cee_
STREET ADDRESS: ,7a2_/
CITY/S' TE/ZIP: /g,.l l e f . .1 "7
SUBDIVISION: fid:F iC 6;/I e f.e./ 4/4,7- '7 ,r',/
BLOCK: '7 LOT: q{ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: -wJ DEPTH: /2J R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER:
W / S 9 So G /mac
MAILING ADDRESS: t Q Px�x /mag y
PHONE: - ICLL - �7AL
CITY/STATE/ZIP: �7:0o (i�,w tea..-
CONTACT: /it PHONE: - fW- - O784-
SETBACKS:
7BL
SETBACKS: - FRONT: 3y LEFT: /J RIGHT:,'fg, REAR:
PERMIT USE:
****************************************************************************
CONTRACTOR LICENSE NUMBER:
BUILDING INFORMATION
'. /2. s- s - 2 co- w6 -
CONTRACTOR: lj/j/AS o c //'L
PHONE:
-93-1 - d 28
MAILING ADDRESS: "O' /4X /yGB y 5,'2-' Ge t.,1`�",/ y
ARCHITECT/ENGINEER: PHONE: -4
MAILING ADDRESS:
NEW: / REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS:
REQUIRED PARKING:
BUILDING HGT: STORIES: /
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT:
JOB STREET ADDRESS:
MECHANICAL PERMIT ^PPLICATION FORM
Information Worksheet
G50-2- / 57rGiv��_
CITY/STATE/ZIP:14AIAAJ G )a.- <7'93'7 PARCEL NUMBER:
OWNER: ,J/,Lf CY A Ssdc lyc
MAI LING ADDRESS: l% /kx /Slr/ S
(Street) (City/State) (Zip)
CONTRACTOR: Irl/ Y 09SJOc LICENSE NUMBER:'J 5�--
PHONE NUMBER:
MAILING ADDRESS: ,#G /5vX /V0 it L/
(Street)
PHONE NUMBER: 71 z -o » �
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
OF UNITS UNIT
DESCRIPTION
= AMOUNT
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
HEATING EQUIPMENT <100,000 BTU
HEATING EQUIPMENT +100,000 BTU
GAS PIPING (1 - 4 OUTLETS)
GAS PI4ING (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
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
HEAT PUMP &
VENTILATING
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
FANS
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: MIN
SIGNATURE
RMIT FE IS $35.00
4e-cf
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE
JOB STREET ADDRESS:
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
.,;:22 Z/ S 0 /a L ////�lL
CITY/STATE/ZIP: /F44,,,0z E_ le/a PARCEL NUMBER:
77o/ 7
OWNER: //, , . S 41 -ss o c /WC PHONE NUMBER:
MAILING ADDRESS: l f/a e y
(Street)
(City/State) (Zip)
CONTRACTOR: t6/./2_,s- of ,4-Q pc ,iLICENSE NUMBER: Gaii,f",y.c.
PHONE NUMBER:
MAILING ADDRESS: , . x /Vo ey �P�.(rio �-�-c J z.//a... 7,1/ V
(Street)
(City/State) (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 DT AINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
l
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 PE FEE IS $35.00
SIGNATURE /<C,.��
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