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Home My WebLink About1990, 08-06 Permit App: 90003773 ResidenceSPOKANE COUNTY DEPA)RTi4IEls} T OF BUILDING AND SAFETY W. 1303 BROADWAY -AVENUE SPOKANE, WASHINGTON 99260. (509)456-3675 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 Sp ounty to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein agree to mply w' am .All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.Iunderstan he theissuan eof spermi application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to giveauthoritytovioIateo cancel theprovi io of anyst eorlocallawre atingconstr ion,orasawarranty ofconformance with the provisions ofany state orlocal laws regulating constru tion. 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Y. ii ioi 9+r •N' A. •P::�t .� ..„, AUG -08-'90 07:18 I D : HEALTH SPO TEL f,10: 4564716 #287 P01SPOKANE COUNYTDVARTMENT OF BUILDINO AND SAFETY t�S ,1303 BROADWAY,AVENUE {, SPOKANE, WASHINGTON 99260 # bi> CdrtIfy;that I have examined this permlt/appllcation, state that the Information contained in it and submitted by me or my agent to compile said permitlapplicatlon Is true f of, and authorize Spokane County to proceed with processing. in addition, .1 have react and understand the INSPECTION REt UIREMENTSfttiOTICE o It<I tie Included herein and agree to comply with same. All provisions of laws and ordinancesgoverning this type of work will be complied with whether specified rid , # not, t understand that the Issuance of this permlttapplication and any subsequent Inspsctfcn approvals or Certificates of Occupancy shall not be construed to �s@h6tltytoviolateorcanceltheprovisionsofanyslateorlocallowregulatingconstruction,orasawarrantyofconformantewiththeprovlslorisofanystateorlocal ..: u]A6ing construction, IGNATURE OF APPLICATION PANT _ DATE _a � '4 ; 1 , t � �tY t r , Ple.('1,,I1" C,T NUMBER -1 $00(,)37 ' t#r ` �t'��>�••at•�•a�•��••a�;x•�t�t�� ,�.:� x}��r��s��•��:•��•�••• I ST EE 141 7 R �•4NCI•�I�`[t��$�{ X}ki Kr Pt:' RC'F €-4 245-3'3-1044 WA 9M 2 lit 1 L AT 4. -, 0 Sri F' IAT 1 m ,g:t�''@ 8 �+AN � AM' y r gd ,�g{{ i r' ^y p g §p '1 ,I�,, i @'°' 1• L1)CK '1 _. '1 ,4,0 3 Yt�.Y r.;�1.,A A� 4' i �,; < r"" � C.. A F"t.,,f i." {'}t)t;) r",/ Ai;>• ' W T D,0 1'1)i;'I^° CH 196 R/14=50 I. 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E C: ,�' F' T T• t'1 � v F X. �ETC,X) X{Y "JU flu S11AT 1 E3 1141 THANK- YO At y ,r a Spokane, County- DEPARTMENT ountyDEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260' (509) 456-3675 FORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS S CITY/STATE/ZIP: SUBDIVISION: 1 C� LOT. ,�Cc:��- �- BLOCK: ZONE: DISTRICT: LOT AREA:��,� F/A: WIDTH: �l� DEPTH: , e -s R/W:` # OF BUILDINGS: # OF DWELLINGS: % WATER DISTRICT: ��iX1II[lili OWNER: /C-1-�L��Lf_-IL��IL PHONE:, MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT:ac LEFT: ba RIGHT: 57 REAR:'5�) PERMIT USE: BIIILDING INFORMATION • G� T�-= CONTRACTOR LICENSE NUMBER. G `� J Il CONTRACTOR: �� ' C PHONE: MAILING ADDRESS: 'r. ( / -- //�%�-) k - 6 Lr C- _ _-:,->4Lge- , Z,6/ , z;?-Z_(�) ARCHITECT/ENGINEER: -A6/,d %� . PHONE: `2Zz- Z` 4Z-1 MAILING ADDRESS: NEW:X- REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BIIILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: ,/,) 14 Rllf(, JOB STREET ADDRESS: CITY/STATE/ZIP: i r PLUMBING PERMIT APPLICATION FORM Information Worksheet PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) CONTRACTOR: MAILING ADDRESS: (Street) 1 - LICENSE NUMBER: PHONE NUMBER: (Zip) (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 FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF I X EACH I I FIXTURES IFIXTURE I = AMOUNT. I 2- (x $6.00 Ix 6.00 =II Ix 6.00 =I I Ix 6.00 =I I Ix 6.00 =i Ix 6.00 =I I Ix 6.00 =1 I..... Ix 6.00 =I Ix - 6.0a =1 Ix 6.00 =I Ix 6.00 =1 I Ix 6.00 =I Ix 6.00 =1 I Ix 6.00 =1 Ix 6.00 =1 I Ix 6.00 =I I Ix 6.00 =I I Ix 6.00 =I I Ix 6.00 =I I Z I / SUBTOTAL 1 $ (PLUS: PROCESSING FEET+ $ 25.00 I I � I (EQUALS: TOTAL PERMITI I FEE DUE I= $ I Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 Information Wor'Aheett JOB STREET ADDRESS:G`'L��- - CITY/STATE/ZIP: - - Jj�t.,[ PARCEL NUMBER: ,A OWNER: �L,C YYI' ICi PHONE NUMBER: MAILING ADDRESS: _ (Street) (City/State) (Zip) CONTRACTOR: T� L91L. !�. LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH DESCRIPTION OF UNITS ITNIT DUCTWORK SYSTEM_ _ _ _ _ _ _ _ _ _ _ WOODSTOVE/INSERT _ _ _ _ _ _ _ _ _ _ _ _ GAS WATER HEATER___BT______ HEATING EQUIPMENT <100,000 U _ _ _ _ _ HEATING EQUIPMENT +100,000 BTU _ _ _ _ _ GAS PIPING (EA OUTLET) _ _ _ _ _ _ _ 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 LOG - - -- - - - - - - - - - - - - _ MISCELLA_NEOUS___ (NOT___COVERED___ELSEWHE___R_E)___ _ 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 _ - _ _ _ _ - _ NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE = AMOUNT X$?0.00 _I 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 = SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675 cc�?R1TTy C1 .� k n fit k. 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