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1996, 05-01 Permit: 96002850 ResidenceSPOKANE COUNTY DIVISION OF BUILDING AND PLANNING 1026 W. BROADWAY • SPOKANE, WA 99260-0050 (509) 456-3675 SITE INFORMATION PROJECT INFORMATION SITE ADDRESS: 2222 S DUSK LN VERADALE WA 99037 PARCEL NUMBER: 45254.9045 SUBDIVISION: MORNINGSIDE PUD PHASE I LOT: 4 BLOCK: 3 ZONE: SR 1 INSPECTOR: FRANK PALADICHUK WATER DIST: VERA OWNER: PHONE: ADDRESS: NORTHWEST HOMES 509 926 0978 POB 14295 SPOKANE WA 99216 PROJECT NUMBER: 96002850 ISSUE DATE: 05/01/96 PERMIT USE: RESIDENCE W/ATTACHED GARAGE - NATURAL GAS APPLICANT: NORTHWEST HOMES PHONE: 509 926 0978 ADDRESS: POB 14295 SPOKANE WA 99216 CONTACT: TED ARNOLD PHONE: 509 926 0978 SETBACKS -> FRONT: 35 LEFT: 13 RIGHT: 13 REAR: 89 LENDER NAME: PHONE: ADDRESS: om w�xo rtRMTT- CONTRACTOR NORTHWEST HOMES LICENSE #: NORTHHi213D2 MECHANICAL PERMIT CONTRACTOR COMPLETE HEATING & SHEET METAL LICENSE #: COMPLHS050BT PLUMBING -PERMIT CONTRACTOR RIVER CITY PLUMBING INC LICENSE #: RIVERCP190KA NEW BUILDING GAS APPLIANCE<=100,0006 1 TOILETS/BIDETS 3 DIM.= 54 X 69 2 STORIES GAS LOG OR GAS INSERT 1 TUBS 1 'A FT = 2240 RANGE - 1 SHOWERS 2 CLOTHES DRYER 1 SINKS 4 ASEMENT F R-3 VN 744 GAS WATER HEATER 1 DISH WASHERS 1 ASEMENT U R-3 VN 680 GAS PIPING 3 CLOTHES WASHER 1 ECK R-3 VN 168 VENTILATING FANS 5 GARBAGE DISPOSAL 1 ARAGE U-1 VN 890 HOOD -TYPE II 1 FLOOR DRAINS 1 ESIDENCE R-3 VN 680 WATER USING DEVICES 3 ND FLOOR R-3 VN 816 TOTAL PERMIT FEE $115.00 TOTAL VALUE: $118,760.00 TOTAL PERMIT FEE $102.00 MPACT FEE= CV - SFR 750 ESIDENTIAL VALUATION 848.00 TATE SURCHARGE 4.50 ESIDENTIAL SURCHARGE 186.56 OTAL PERMIT FEE $1,789.06 • . PAYMENT SUMMARY NOTES PAYMENT DATE RECEIPT# . PAYMENT AMOUNT 05/01/96 00003607 $2,006.06 TOTAL FEES AMOUNT PAID AMOUNT OWING $2,006.06 $2,006.06 ISSUED PERMIT BY: JOHN LARSON $.00 FILE NOTICE It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following inspections ARE REQUIRED by County Code: 1. FOOTING - when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee —neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a manufactured home is required to be inspected prior to the installation of skirting.) 3. FRAMING - after all framing, bracing and blocking is in place, and prior to concealing. 4. INSULATION - prior to the installation of drywall. 5. PLUMBING - after rough -in, before covering, and final. 6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice. NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final approval of a building or issuance of a Certificate of Occupancy. In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. CALL 456-3675 FOR INSPECTIONS. TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE. YOUR INSPECTOR IS UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES: • Road cuts for utilities or drives, County Engineer's Office • Sewer connection, County Utilities Department 456-3600 456-3604 or State Department of Transportation or City Public Works Department 456-3000 625-6300 • On-site waste disposal system, Spokane County Health District • Electrical wiring, State Department of Labor and Industries 324-1560 324-2640 • Construction in a flood plain, County Engineer's Office 456-3600 EXPIRATION Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit if not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the original fee, subject to certain limitations—please call us if you have any questions. MISTAKES? If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery All such requests should be directed to the Division of Building and Planning at the address found on the face of this permit. 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 beciimplied 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 -la -w 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 DATE SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING 1026 W. BROADWAY • SPOKANE, WA 99260-0050 (509) 456-3675 SITE INFORMATION PROJECT INFORMATION SITE ADDRESS: 2222 S DUSK LN VERADALE WA 99037 PARCEL NUMBER: 45254.9045 SUBDIVISION: MORNINGSIDE PUD PHASE I LOT: 4 BLOCK: 3 ZONE: SR 1 INSPECTOR: FRANK PALADICHUK WATER DIST: VERA OWNER: PHONE: ADDRESS: NORTHWEST HOMES 509 926 0978 P08 14295 SPOKANE WA 99216 PROJECT NUMBER: 96002854 ISSUE DATE: 05/01/96 PERMIT USE: SEWER CONNECTION - MORNING SIDE - 96S-396 APPLICANT: NORTHWEST HOMES PHONE: 509 926 0978 ADDRESS: POB 14295 SPOKANE WA 99216 CONTACT: TED ARNOLD PHONE: 509 926 0978 SETBACKS -> FRONT: 35 LEFT: 13 RIGHT: 13 REAR: 89 LENDER NAME: PHONE: ADDRESS: PERMIT(S CONTRACTOR NORTHWEST HOMES LICENSE #: NORTHH*213112 EWER CONNECTION 1 PROCESSING FEE 10.00 OTAL PERMIT FEE $50.00 PAYMENT SUMMARY NOTES PAYMENT DATE RECEIPT# 05/01/96 00003608 TOTAL FEES $50.00 PAYMENT AMOUNT $50.00 AMOUNT PAID AMOUNT OWING $50.00 ISSUED PERMIT BY: JOHN LARSON S.00 ***FOR SEWER STUB AS -BUILT INFORMATION AND INSPECTIONS, CALL THE COUNTY UTILITIES DEPARTMENT AT 456-3604*** CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT. CALL BEFORE YOU DIG (456-8000) SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN CALL FOR INSPECTION PRIOR TO COVER ********* 24 HOUR NOTICE REQUIRED 456-3604 NOTICE It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit complies with applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following inspections ARE REQUIRED by County Code: 1. FOOTING - when forms and reinforcement are in place and prior to placement of concrete. NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee —neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense. 2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a manufactured home is required to be inspected prior to the installation of skirting.) 3 FRAMING - after all framing, bracing and blocking is in place, and prior to concealing. 4. INSULATION - prior to the installation of drywall. 5. PLUMBING - after rough -in, before covering, and final. 6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final. 7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice. NOTE- In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final approval of a building or issuance of a Certificate of Occupancy. In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall, concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects. CALL 456-3675 FOR INSPECTIONS. TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE. YOUR INSPECTOR IS UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES: • Road cuts for utilities or drives, County Engineer's Office • Sewer connection, County Utilities Department 456-3600 456-3604 or State Department of Transportation or City Public Works Department 456-3000 625-6300 • On-site waste disposal system, Spokane County Health District • Electrical wiring, State Department of Labor and Industries 324-1560 • Construction in a flood plain, County Engineer's Office 456-3600 324-2640 EXPIRATION Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit if not commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the original fee, subject to certain limitations— please call us if you have any questions. MISTAKES? If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Division of Building and Planning at the address found on the face of this permit. 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 APPLICATION OWNER OR AGENT DATE PROJECT NUMBER= 96002850 APPLICATIOW DAT ;= 04/26/96 •AGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 2222 S DUSK LN PARCEL#= 45254.9045 ADDRESS= VERADALE WA 99037 PERMIT USE= RESIDENCE / NAT GAS PLAT#= 005490 PLAT NAME= MORNINGSIDE PUD PHASE I - BLOCK= 3 LOT= 4 ZONE= SR 1 DIST#= F AREA= 00017323 F/A= A WIDTH= 95 DEPTH= 1820 R/W= 35 # OF BLOCS= 1 # DWELLINGS= 1 WATER DIST = VERA OWNER= NORTHWEST HOMES STREET= POB 14295 ADDRESS= SPOKANE WA 99216 PHONE= 509 926 0978 CONTACT NAME= TED ARNOLD PHONE NUMBER= 509 926 0978 BUILDING SETBACKS: FRONT= 35 LEFT= 13 RIGHT= 13 REAR= 89 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: Q Lf -3 0-�1 BUILDING SETBACK REVIEW REQUIRED COMMENTS: BUILDING SEWER PERMIT PENDING COMMENTS: 94- r &t.S-V' ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE COMMENTS: ******************************* CONTRACTOR= NORTHWEST HOMES STREET= P 0 BOX 141295 ADDRESS= SPOKANE WA 99214 BUILDING Compliance with drainage conditions filed under a sepa�z� required.covenant 1 r PERMIT ******************************* PHONE= 509 926 0978 NEW= X REMODEL= ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 26 STORIES= 2 BLDG W X D = 54 X 69 SQ FT= 2240 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N PROJECT NUMBER= 96002850 DESCRIPTION GROUP BASEMENT F BASEMENT U DECK GARAGE RESIDENCE 2ND FLOOR R-3 R-3 R-3 U-1 R-3 R-3 ITEM DESCRIPTION APPLICATION TYPE SQ FT VN VN VN VN VN VN RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE IMPACT FEE= CV - SFR 744 680 168 890 680 816 ' QUANTITY Y Y Y 750 DATE= 04/26/96 PAGE= 02 VALUATION 11160.00 7480.00 1176.00 10680.00 40120.00 48144.00 FEE AMOUNT 848.00 4.50 186.56 750.00 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= COMPLETE HEATING & SHEET METAL PHONE= 509 533 9528 STREET= 1934 E MARSHALL ST ADDRESS= SPOKANE WA 99207 ITEM DESCRIPTION GAS APPLIANCE<=100,000BTU GAS LOG OR GAS INSERT RANGE CLOTHES DRYER GAS WATER HEATER GAS PIPING VENTILATING FANS HOOD -TYPE II QUANTITY FEE AMOUNT 1 12.00 1 10.00 1 10.00 1 10.00 1 10.00 3 3.00 5 50.00 1 10.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= RIVER CITY PLUMBING INC STREET= 111 N VISTA RD 48 ADDRESS= SPOKANE WA 99212 ITEM DESCRIPTION TOILETS/BIDETS TUBS SHOWERS SINKS DISH WASHERS CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICES PERMIT TYPE FEE AMOUNT QUANTITY 3 1 2 4 1 1 1 1 3 PHONE= 509 924 8028 FEE AMOUNT 18.00 6.00 12.00 24.00 6.00 6.00 6.00 6.00 18.00 AMOUNT PAID AMOUNT OWING PROJECT NUMBER= 96002850 APPLICATION DATE= 04/26/96 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 1789.06 .00 1789.06 MECHANICAL PRMT 115.00 .00 115.00 PLUMBING PERMIT 102.00 .00 102.00 PROCESSED BY: JOHN LARSON PRINTED BY: JOHN LARSON 2006.06 .00 2006.06 ti) ***** x x x x x x x x x x x x x x x x x x x x x x x x x x x THANK YOU ****x******************************* MECHANICAL PERMIT APPLICATION PROJECt' ADDRESS: S' 2222 2? -J / 1, SC OWNER: .7522 ei, MAILING ADDRESS: /?o, fex /4/(2;c8. CONTRACTOR: 4_2),e'7 GvSSi PHONE: 926- d97g LJk7 , 2_I Co (street) ity/state) (zip) MAILING ADDRESS: P d /4/ 2/j C� (streetf " cf)2 Z., LICENSE: Joie -9,/ 2/3 DZ PHONE: <72`, —0979' (city/state) (zip) Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166 mn.r<rkmechNrm hnd DESCRIffiON OF_WORK * OF UNITS .o,.,,- rum er COS T /UNIT nounu AMOUNT B02 FUEL BURNING APPLIANCE .. or <100,000 /$12 - s 80.3 FUEL BURNING APPLIANCE >100,000 $15 - s B04 UNLISTED FUEL BURNING APPLIANCE = or <400,000. $50 - s 1305 UNLISTED FUEL BURNING APPLIANCE >400,000s S100 - s B06 USED APPLIANCE (Must meet WSECs min. AFUE rating) = or <400,000$50 - s B07 USED APPLIANCE (Must meet WSECs min. AFUE rating) >400.000 . SloO - s B08 BOILER/REFRIGERATION 1-100MBTUS12 - s B09 BOILER/REFRIGERATION 101-500M BTu _ $20 - s 810 BOIIER/REFRIGERATION •501-1.000MBTU . $25 - s B11 BOILER/REFRIGERATION 1,001-1750MBTU _ $35 - s B12 BOILER/REFRIGERATION +1.750M BIM $60 - s B13 GAS LOG. GAS INSERT. AND/OR GAS FIREPLACE - ( $10 - , B14 RANGE - $10 - s 1315 DRYER - $10 - s B16 FUEL BURNING WATER HEATER - ( $10 _ s B17 MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 - s BIS GAS PIPING (ea. outlet) - 2. Sl _ s B19 DUCT SYSTEMS - $10 - s 820 VENTILATING FANS - . . $10 - s B21 AIR HANDLER (DOES NOT include duct systems) = or <10.000 CFM . $12 - s 822 AIR HANDLER (DOES NOT include duct systems) >10.000cFM$15 - s B23 EVAPORATIVE COOLERS -$10 - s B24 TYPE I HOOD - . $50 - s B25 TYPE II HOOD - . $10 - s B26 HEAT PUMP/AIR CONDmONER 0-5 TONS $12 - s 827 AIR CONDITIONER 6-15 TONS . $20 - 1328 AIR CONDITIONER 16-30 TONS $25 - s B29 AIR CONDITIONER 31-50 TONS . $35 - s 830 AIR CONDITIONER +50 TONS $60 - s B31 LPG STORAGE TANK - . $10 - s 832 WOOD OR PELLET STOVE/INSERT - $25 - s Spokane 1026 NOTE: MINIMUM PER MI EE IS $35.00 Subtotal PLUS: PROCESSING FEE $25.00 SICLN• TOTAL PERMIT FEE DUE S County Division of Buildings W. Broadway • Spokane. WA 99260 PLEASE MAKE CHECKS PAYABLE SPOKANE COUNTY PERMIT TO: CENTER Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166 mn.r<rkmechNrm hnd PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER: PHONE: MAILING ADDRESS: CONTRACTOR: (street) (city/statc) (zip) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166 MflTIMPLUMPEkMIIND PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS ur.Y,- PI.mDDY COST /UNIT nouns AMOUNT 802 TOILETS WATER CLOSETS. BIDETS 3 x $6 = $ 1303 URINALS - x $6 = $ BO4TUBS DATILJACUZZI. SPA. GARDEN I X $6 = $ B05 SHOWERS (per trap) BASE. STALL ON—SITE BUILD 0. x $6 = $ BO6SINKS IAVS/BASINS,BAR. FLOOR. KITCHEN. LAUNDRY, UTILITY. JANITOR. PHOTO. X—RAY. FOOD (PREP/CULINARY/MEAT) dri X $6 = $ 1307 DISHWASHER - I x $6 = $ B08 CLOTHES WASHER - I x $6 = $ 1309 GARBAGE DISPOSAL/GRINDER - I x $6 = $ 1310 WATER SOFTENER - x $6 = $ 1311 ELECTRIC HOT WATER TANKS (NOTE I ps neer tank seemeeLoal) x $6 = $ B12 FLOOR DRAINS AREA CASE. con..TRPNCH, CONDENSATE 1 x $6 = $ /313 ROOF DRAINS/OVERFLOW DRAINS (ea) - X $6 = $ B14 FOUNTAINS, DRINKING - x $6 = $ B15 WATER PIPING/DRAIN- WASTE- VENT INSTALLATION. ALTERATION OR REPAIR X $6 = $ B16 SEWAGE EJECTORS GRINDER SUMP PUMP X $6 = $ 817 WATER USING DEVICES ICE AND/OR COFFEE MAKER. HOSE BIB. STEAMER. PROOFER. CARBONATOR, SWAMP COOLERS ,? x $6 = $ —J 818 CROSS— CONNECTION DEVICES VACUUM BREAKER. CHECK VALVE. AND R.P.B.PD. FOR: VATS. SUMPS. TANKS. BOILERS. & SPRINKLER SYSTEMS X $6 = $ B19INTERCEPTORS GREASE TRAP, SAND TRAP. CHEMICAL HOLDING TANK x $6 = $ 1320 MEDICAL GAS (per outlet/bottle station) NITROUS. OXYGEN X $6 = $ 1321 MISCELLANEOUS FIXTURES X $6 = $ Spokane 1026 NOTE: MINIMUM P . RMIT FEE IS $35.00 . / .....4111 Subtotal PLUS: PROCESSING FEE $25.00 SIGNA - . _ _ V . _ TOTAL PERMIT FEE DUE $ County Division of Buildings W. Broadway Avenue • Spokane, WA 99260 PLEASE MAKE CHECKS PAYABLE.TO. SPOKANE COUNTY PERMIT,CENTER. Tel. No. (509) 456-3675 • Fax No. (509) 456-7403 • TDD No. (509) 324-3166 MflTIMPLUMPEkMIIND General Information t. APPLICATION' WORKSHEET II S 22.22 T rck Liz 1'a reel number �o ttirC67� .dd,e., %a*8X 194295 ;1, .5Gak-19'`1z— Phone 92e, -O9 2e 4 - "52E-- Zip Slate L Site Information [ Project Information U [Fermin hC 7 /<£s. Fe Add ii ion Remodel Change of use L Building Information , J le Cin % Rik ✓��i�L /. ,A , Handicap parking legal Dewily( n -_ o , „> s_ ater .strict + a,mgaddress / Numberol: Dwellings t/ Buildings notwih we x' e� 7.one v, It in tractor §� oa/ Inspector S3Sw 962g - Road width ' - Phone ^Nifiggrigaress City. stale. zip [ Project Information U [Fermin hC 7 /<£s. Fe Add ii ion Remodel Change of use L Building Information Sy care footage breakdown Uncovered /covered deck tvr/L Other -Dv-Tilling units Occupant load Ioul square tootage --Ow zr2.410 Building height Req'd parking Handicap parking Stories Sprinkler system-Cnncal Materul -BwTdingdrmensions (ilk 5'? Garage 69a Sy care footage breakdown Uncovered /covered deck tvr/L Other 1, ain Boor f L. go Second Boor Ile, Pinnhed basement '74/4' Phone Unfinished basement eel RD Garage 69a LContractor Information` Budding contractor / ''_ /AtlMG T,�w s,i r 2l _2 UZ O Y �+� 7 brag cotactorfiLSe ems , /7 i'ia-'"-"-'-""1 q / 2`7- got e Phone Phone xnsenumlicr J n�p(L' %ai gaai��'��mTg as"""g cessess { 2%c /4/ZI�+ a,mgaddress / r D. idly. su la zip WA iei2-l/0 (,ray. sta le. zip v, It in tractor §� oa/ �� f S3Sw 962g Other/Lender License number Mailing address Phone (- . P'I r � /£%F -Lice numl'e isse Phone ^Nifiggrigaress City. stale. zip Lily. state. zip PROJECT�-CONTACT' / �P GJ, ,n';/7/ fj 1'fIONE i?c —cf.g 7 Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 %)_ 18 s 1 /3' i J' I S9' c1' S' i 3 /o e 9'c" gApos 2n' 1" ss's 00-" syr aDukESS. S �7,=)d- ZONE: _3%' 1 ROAD WIDTH: .3 s^ FRONT' S— FLANKI G: COMMENTS: REVIEWED BY'