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1990, 05-14 Permit App: 90002055 Residence
SPOKANE COUNTY DEPARTM,EUT OF BUILDING AND SAFETY W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I 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 '' R t.; •_? t::.1..; i NUMBER= 90002055 PAGE= 01 .. )...................... ::.::.:.....: ;. • •.::.:,:. a:. ai.:;.: '. k t ' t f ' 7. i!... ....,F..... .... F:) $?' ...) 9?- * * :?. p. j?..,!..tr• i�' )i..��..,?..!?. ;!t; a: .f,..�?..!,, .�:: •S!• 4!r }!..y?. J?..1?• P: 9k •1?• )k 9C 9!. ?, !: F? !!.:+!!•..•.:: „ 1. P. ,? f•'i {" i L... ?., h•! { ...... 4 SITE VERA f.,+ ;•7 ;.5t }:37 tilt• f, PERMIT USE= RESIDENCE W/GARAGE :-.: a:....- , '! ! !; PLAT '- fV-' f..j {'t {"{ .{. ? t`'i :" :::'t. { `: ": j:;':'. E i'•`: POINT !OF S} D,t.. DWELLINGS= .,.1itsN1::.1",' .. Ire jY j:ii.` ,i.:S ... INC ':..7:::.. t 8 4 }'. 5::. , :.. . SPOKANE ?qS A. :? 9 2 i ' S C—TACT NAME- BILL SMJTH.. PH A)NE NUMBER= 509 922 0782 LEFT= !v RIGHT= REAR= ....... H,(-************************** R -+ w INFORMATION • i.. P4n* . . A : . ps* * :7 :R.. i * " • DEPARTMENT REVIEW ..:i.!Mt'{ENI ,.. BUILDING PLAN REVIEW REQUIRED BUILDING SETBACK REVIEW REQUIRED ENGINEER APPROACH/ f" _OOD PLAIN/DRAINAGE UTILITIES W/IN PRIORITY SEWER AREA APPROVAL ._t _iM'"Ex: TS ---------------------- 9: ; t 9 4 A 9 hAt 3 9 ? ? p :} + a : s : : ist ! R !$ +. _ D • V ; PERMIT i!t : c :+Y . 4 k• f 4?• fi.t!}.:r::a t } * 4f . . i+..1s CONTRACTOR= R .'#i TATES WA 99214 REM— DWELL UNIT ,\:= { ?.!?.:?.:?.1I`' _ {...).1::.: .. . BLD— 7Ai .'ti {i ...: :{. SQ.FT= 1650 r. .1' OHANDICAP- BUM. H61= CRT •r CHANCE OF USE= ..... • .. • • ... •.:, t : •.::: t :,t : t :a ::. '.::::.. • 1. * * * ,.* . , .. A. A. A. l . A. , . r. +.:.:? :. R A. P. A. A. A. , . ;': ;!: •1?• :t: A: •i!: }? :? A. P. 1!.:,. 1? :? }!. }!. 3s. 3=. }!: i"-::!: -,'?' :!: 'i+: �+::!: 'ii: 1+: 'A: !i 4!: !'{ I.� {.., i'{ i•a {'V t, i.: fi {... ,' � t r'1 , W R Eh ASE1CIA { E:S 1}..},: i. 'Ai '}. '}i• '* 7. '}. 9i: * * •%t * •}t• * * * !i '='i 'iC * K * i Jt• i+.. i!. p {,_ a m{ B .{. {''+' ?.Y ?.: O N I R A t.: i t. i {•,,` :::: ?ti {". s t.¢ ASSOCIATES .... t.,, {^..... ,.. ,.. •• .a h'' ?. I`', f� 1',11; tr... `:s' h j '{ .Ca THANK -5, 5z/ 5d, bb PHONE= 509 922 07G2 PHONE= 509 922 cY782 YOU-•.[: + : t .. .. .. .. .. .. : ' :,::: ' i. nj.::: ' 1i. i,: ii.::: (..i,: ' !: :!!.:g: :y.. 1• ;iF: :�: :!+.. i..i?' ':?' :�: ! , �::r :!r :'t :�: •A: •fe •h. r.• :? n �•.:. u A: ,.:-.:-. A. �. } .. . }. . t•. 11fr/ 'ftcio/ Spokane Count -. p y DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: Lst INFORMATION WORKSHEET /6;J6 /6 y v STREET ADDRESS: ' � o EH /LL y 4.1 4r-;</ CITY/STATE/ZIP: /%-z_&-/ 4,476t., 99p.2 7 SUBDIVISION: BLOCK: if LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: J DEPTH:/2- R/W: # OF BUILDINGS: / # OF DWELLINGS: ( WATER DISTRICT: OWNER: yi PHONE: - i� 2_ - 9 29 MAILING ADDRESS: Ax / Vo B (4 CITY/STATE/ZIP: pp -&.0 ; Z,Va _ 2c/ /7 CONTACT: �� /.I 4.,dj PHONE: - 942---- o?g2_____ SETBACKS: - FRONT: LEFT: RIGHT: /J REAR: ` PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: 1,1y/? /ifs -VJ ''6 - CONTRACTOR: //1/1/4" A- ems PHONE: - /� - ©JP 2_ 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: Y �'i'2 �� /f Z///../ CITY/STATE/ZIP: /4,---7i.-77L-e_74._- PARCEL NUMBER: 99e1 % OWNER: PHONE NUMBER: MAILING ADDRESS: CONTRACTOR: (Street) MAILING ADDRESS: (City/State) (Zip) LICENSE NUMBER: \PHONE NUMBER: (Street)*, (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION NUMBER OF FIXTURES X EACH FIXTURE = AMOUNT TOI7,FTS 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 -� x $6.00 = x 6.00 = x:.".6.00 x:.; 6.00'_= 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 S IGNATURE 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 JOB STREET ADDRESS: CITY/STATE/ZIP: OWNER: MECHANICAL PERMIT APPLICATION FORM Information Worksh4et MAILING ADDRESS: CONTRACTOR: PARCEL NUMBER: PHONE NUMBER: (Street) MAILING ADDRESS: (City/State) (Zip) LICENSE NUMBER: PHONE NUMBER: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT DESCRIPTION DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU._ HEATING EQUIPMENT +100,000 BTU GAS PIPING (EA OUTLET) REFRIG 1-100M BTU (NOT A/C OR HEATv:PUMP REFRIG 101-500M BTU REFRIG 501-1;000M)BTU ".1_ REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU 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 - 15-3 0 ..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 = 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 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 9 260 (509) 456-3675 407--- 6 dzocK /-,;-- g't/"