1989, 08-28 Permit App: 89003031 Residence4V'
� -SPOKA�E����UNTY DEPARTMENT'��F BUULDUN�@��ND
°/ SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)�456-3675, �
I certify that I have examined this permit and state that t.he 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 warr7 f f, ith the provisions of any state or local laws regulating construction.
, � o con orme!7 -Z -
SIGNATURE OF APPLICATION
�� 61�� _� DATE
OWNER OR AGENT
�
PROJECT NU�BER= 89003O"i
`
' DATE= O8/28/89 PA�E= Oi
` APPLICATION
********* APPLICATION ******************************
%ITE %TREET= 54i6 N DAVI% RD PARCEL�= 34644—i206
ADDRE%%= �
'
PERMIT U%E= RE%IDENCE
PLAT�= OO4i50 PLAT NAME= %AN%ON EA%T
' BLOCK= 3 6 1N1..
F WIDTH= iO8 DEPTH= ii5
i! OF BLDa LLIN6%= i
'
OWNER= C H D INC PHONE= 5O9 926 5229
%TREET= P O BOX i37i7'
ADDRE%%= %POKANE WA 992i3
CONTACT NAME= WE%CRO%BY PHONE NUMBER� 5O9 926 5229
BUILDIN� %ETBACK%: FRONT= 3O LEFT= 2O RI�HT� 28 REAR= 57
*******�********************** R� � INFORMATION **************************
DATE
DEPARTMENT NAME REVIEW COMMENT% IN/OUT INITIAL%
'
--------------- .... .... .... .... .... ... .... .... ... .... ... ................ ------ --------
BUILDIN� & %AFETY PLAN REVIE� REQUIRED �MW
.------------------------------
—~---------------------------- ------ .... .... ....
BUILDIN� & %AFETY
~
COUNTY ENkxINEER
—
�
'
ENVIRONMENTAL HEALTH
%ETB CKEW REQUIRED
.... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... ....
.... .... .... .... .... .... .... .... .... .... .... .... .... ... ---.... .... .... -------.... ...
—
�
APPROACH/FLOOD PLAIN/DRAINA�E
—�---�----------------
NE OR DITIONAI WATER
'
--------... .... ... x�—�'--r�~--.-------
---r—r------,---7—
.~ �
PROCE%%ED BY� WENDEL, IA
PRINrED BY� WENDEL, �LORIA
r*, �M
------
^
******************************** THANK YOU *********************************
`
D EPARTIM fi
I
IN
PARCEL
F
.NUMBER:
Ij
STREET,ADDRESS:
CITY/STATE/ZIF:,
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH,
DESCRIPTION OF UNITS UNIT = AMOUNT
$nlormation iroYkshlog
_Ix
Ix
JOS STREET ADDRESS:
i
CITY/STATE/ZIP:,
PARCEL NUMBERt
OWNER:
_/
_'/
PHONE NUMBER:
-�
MAILING ADDRESS:
(Street)4*4
(City/State) (Zip)
CONTRACTOR:
LICENSE NUMBER•
PHONE NUMBER:
MAILING ADDRESS:
(Street)
(City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH,
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM- - - _ - - - - - - ^ - -
WOODSTOVE/INSERT - _ - _ _ - - - _
GAS WATER HEATER_ _ _ _ _ _ _ _ -
HEATING EQUIPMENT <100,000 BTU - _ _ _7
HEATING EQUIPMENT +100,000 BTU _
GAS PIPING (1 - 4 OUTLETS)
GAS PIPING (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 & 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 _ - - - - - - - - _ _ _
EVAPORATIVE COOLERS _ _ _
TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD)
TYPE II HOOD - - - - - - - - --
CLOTHES DRYER - - - -
---------_-
RANGE- ------------- ----
GAS LAG _ _ _ _ _ _ _
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 - - _ _ _ _ _ _
_Ix
Ix
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 =
iu
_/
_ Ix
it _Ix
_:
_/
_'/
-�
4z.
v�o
SUBTOTAL
$
PLUS: PROCESSING FEE
+ $ 25.00
PLU Nd" FRMIi APPLICATION FORM
Information Worksheet
'STREET ADDRESS: j -
Y/STATE/ZIP: PARCEL NUMBER:
ER: PHONE NUMBER:
LING ADDRESS:
(street) (City/State) (Zip)
TRACTOR: LICENSE NUMBER:
PHONE NUMBER:
LING ADDRESS:
(Street) (City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
+NUMBER OF I X EACH
DESCRIPTION FIXTURES IFZXTURE = AMOUNT
TOILETS
SINKS I
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
_Ix
Ix
$6.00 =�
6.00 =1
6.00 =1
6.00 =1
�x 6.00 =�
�x 6.00 =�
Ix 6.00 =�
�x 6.00 =�
Ix 6.00 =�
Ix 6.00 =�
Ix 6.00 =�
Ix 6.00 =�
(x 6.00 =�
x 6.00 =�
x 6.00 =�
Ix 6.00 =�
Ix 6.00 =�
Ix 6.00 =1
Ix 6.00 =1
_/
_ Ix
it _Ix
_:
_/
_'/
1
PLUS: PROCESSING FEET+ $ 25.00 i
, 01EQUALS: TOTAL PERMIT
EQUALS: TOTAL PERMIT
NOTE: MINIMIIM PERMIT FEE IS $35.00 FEE DUE _ $ NOTE: MINIMIIM PERMIT FEE IS $35.00 FEE DUE $
SIGNATURE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
SIGNATURE
West 1303kBroadway Avenue Department
Spokane, WAt 99260 Sa (5 9) 456-3675
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