1991, 03-26 Permit App: 91001345 Residence0
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 45q-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
OWNER OR AGENT DATE
APPLICATION
PROJECT NUMBER= 910013.5 APPLICATION DATE= 03/26/91
****** THIS IS NOT A PERMIT ******
PENALTIES WI1._1... BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
MIT
PAGE.- 01
SITE STREET= 2507 S EARLY DAWN LN
ADDRESS=: VERADALE WA 99037
PARCE:I...O- 26543-0202
PERMIT USE== RESIDENCE W/GARAGE.
PL_AT0 == EVEPUD PLAT NAME- SUMMIT AT EVERGREEN POINT
BLOCK= i LOT= 9 ZONE= P111) DIST*:= F
AREA- 00()00000 F/A= F WIDTH= 62 DEPTH- 100 R/W- 30
4 OF BLDGS= i W DWELLINGS= i WATER DIST == VERA
OWNER:-: W R S ASSOCIATES INC PHONE~ 509 922 0.82
STREET= M' 0 BOX 1.084
ADDRESS= SPOKANE WA 99214
CONTACT NAME== IBIL..L. SMITH PHONE NUMBER= 509 922 0782
BUILDING SETBACKS: FRONT= 20 LEFT= 8 RIGHT= '5 REAR= 28
**•**** ••x•****•••;t••x**•;t****• a;****** REVIEW INFORMATION *•****************•*******•**
DEPARTMENT REVIEW COMMENTS APPROVAL.. COMMENTS
BUILDING PLAN REVIEW REQUIRED
BUILDING SETBACK REVIEW REQUIRED
•x i*ji•ai** •* • • ;• • : • •****••**x•*• *• * • BUILDING PERMIT •* •** • •* •x* •* • • •• •***•x* •**• *
CONTRACTOR= W R S & ASSOCIATES PHONE= '.509 922 0782
STREET=:. P 0 BOX 14084
ADDRESS= SPOKANE WA 99214
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP, L..D= BLDG HGT= STORIES-
BLDG W X D= X St? FT= 1605 SPRINKLER= N
REG! PARKING=: :,HANDICAP- CRITICAL MAT:::: N
* *** k •**• :**• •: ** i•r:-•; ******* •r;* • MECHANICAL.. PERMIT ******4********************
CONTRACTOR= ALLIED HEATING INC PHONE= 509 928 82.52
STREET= 9311 E TRENT AVE
ADDRESS= SPOKANE WA 99206
'rt•)Eii•Yi•iEaiii ***9ii{•*****irr*3Eib****** PL.UHBI.NG PERMIT ** ***•******• ************ ****
CONTRACTOR= TOWN & COUNTRY PLUMBING
STREET= RT i BOX 1 29 A
ADDRESS= ELK WA 99009
PROCESSED BY : JULIE SHATTO
PRINTED BY: JULIE SHATTO
PHONE- 509 292 8 302
******•************************** THANK YOU*••********r:**********R******•*****•
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Spokane County -
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
16,
4 00
x/80'
INFORMATION WORKSHEET
PARCEL NUMBER: -66:-:544:5 -
STREET ADDRESS: oS 4 ,U % .C -z, G- f¢ X_ 1 y 1),efl.�/,U `rx-., e f C--- g 2y)
CITY/STATE/ZIP: a/A__ 9f 7 ,' 7
A
SUBDIVISION: ele sii t T Q-? e-'‘,/,,- ,G7
BLOCK: / LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH:41i5 25 DEPTH: /QOFe! R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: GU , - s 9' ,YN-- PHONE: - P;!2-- el 78
MAILING ADDRESS: � -� 7-t / Vo g y
CITY/STATE/ZIP:
CONTACT: PHONE: p, 8
SETBACKS: - FRONT: /7.--a
PERMIT USE:
LEFT: $ RIGHT: S REAR: 2 6
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
?V 106 -
CONTRACTOR: £L/ /1 PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
PHONE:
NEW: y' 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 �J f
JOB STREET ADDRESS: ,-24 7
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS: "D / Vo 8'(
(Street) (City/State) (Zip)
CONTRACTOR: /✓ULICENSE NUMBER: �,//,°:r, c - 2 0-1-
PHONE NUMBER:
MAILING ADDRESS:
(Street)
(City/State)
(Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
TOILETS
SINKS
SHOWERS
BATH TUBS.
KITCHEN SINKS
DISH WASHERS
GARBAGE DISPOSAL
..... ................ ............... ... .
CLOTHES. WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS
FLOOR DRAINS
FLOORSINKS ' :>
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL:::
DRINKING FOUNTAIN
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE ,;;-
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 6.00 =
x 6.00 =
x 6.00 =
x6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x6.00 =
x 6.00 =
x 6.00 =
x6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x6.00=
x 6.00 =
x 6.00 =
Z
/
/
/
/
/
/
SUBTOTAL
$
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 Workshe
JOB STREET ADDRESS: ,_;47o 7
CITY/STATE/ZIP: PA CEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Zip)
(Street) (City/State)
MECHANICAL WORKSHEET/FEE SCHEDULE
DESCRIPTION
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS)
WOODSTOVE/INSERT:
GAS WATER HEATER
GAS;:EQUIPMENT <100,000.STU (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
BOI LERFREFR_IG :10001-1750M'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
EVAPORATIVECOOL"ERS`: -
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD .:...:.
CLOTHES DRYER
RA
GAS LOG
MISCELLANEOUS (NOT; COVEREELSEWHEF
UNLISTED GAS APPLIANCE <400,000 BTU
ULINSTED GAS: APPLIANCE >400, 00`BTU
.:::::...
USED APPLIANCE <400,000 BTU
....::.....................................
USED APPLIANCE> 00
AIR HANDLER <10,000 CFM
KHANDLI=R:..ER
1:>>.,:> C
:.:.:.: ...:.:.... .:...
.............:
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE
(Zip)
NUMBER
OF UNITS
X EACH
UNIT
= AMOUNT
x 10.00 =
x 25.00 =
x 10.00 =
x 12.00 =
x 15.00 =
x 1.00 =
x 12.00 =
x 20.00 =
x 25.00 =
x35.00 =
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 =
/
/
/
SUBTOTAL
$
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
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