1988, 10-17 Permit App: 88003266 DormerOCT -17-'98 13:05 ID:BLDU AND SAFETY -SPO TEL. N0:509-456-4703 4236 P01
PROJECT NUMBER= 980(.3266 DATE= 10/17/8B PAGE= Of
APPLICATION
APPLICATION *Toit4)TK**xxito*m***Hossm*g**sx4m.
stir STREET= 1124 N LOCUST RD
ADDRESS= SPOKANE WA 9921 2
PERMIT U%t:::: DOMIER roR 2ND ELooR BATHROOM
PARCEL.*= 172-1349
N AT. 004137 rl Al NAME= $P-372
BLOCK= 5000 LOT,: 1000 ZONE= AGSUB 01ST:1= E
AREA= F/A= V WIDTH= 9? DEPTH= 2210 R/Wm 40
(1 OF BLDG'S= 0 DWELLINGS= 1
OWNER= SCHJODT, YENS J
STREET1124 N LOCUST RD
ADDRESS= SPOIANE WA 992A2
PHONE09 926 Orfl
CONTACT NAME= KEN CHOLEWINSKI PHONE NUMBER= 509 924 7012
nOTIDING SETBACKS: FONT= EXIN LEVI:- EXIS RIGHTm EXIS REAR= EXIS
K****14Ko.xxl(*KAKKnxx****-witivg*x REVIEW INEORMATION fl.g.o.g******0*IiImg10(I(u4Kfl
bATE
TN/OUT INITIALS
DEPARTMENT NAME REVIEW COMMENTS
ENVIRONMENTAL HEALTH NEW OR ADDITIONAL WASTE WATER 001017
BUILDING PERMIT KII*XM*SikUtt***OCK*16"4"**
CONTRACTOR= COOLEWINSKI CONSTRUCTION
STREET:J. 4210,N MARGUERITE ED
ADDRESS., SPOKANE WA 99212
NEW=
DWELL UNITS= 1
BLDG W X. D
REG! PARKING=
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OHANDICAPm
PHONE= 509 924 7012
ADD1110NPII
BLDG MGT=
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CHANGE 01 USE=
STORIES=
HYDRANT= N
DESCRIPTION GROUP TYPE SO rl VALUATION
REMODEL R-3 VN 4500.00
i(Jtgl*KK*x**4comoH(*mm40*0* PLUMBING PERMIT *4(.X)inA*301(g)thitirX*4(M**44(40**R44
CONTRACTOR= CHOPF.W1NSK1 CONSTRUCTION PHONE- 509 926 7012
STREET= 421 N MARGUERITE RD
ADDRESS= SPOITIANE WA 99212
PERMIT TYPE
BOLDING PERMIT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
.00 .00 .00
.00 .00 .00
PROCESSED BY: WENDEI , GLORIA
PRINTED BY: WENDEL, GLORIA
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INFORMATION WORKSHEET
PARCEL NUMBER: )1,5" 41.1 ` /3 99
STREET ADDRESS: / /Q Ll . hO(ra d led
CITY/STATE/ZIP:
Son koir. . uJ4 q 9„. /
SUBDIVISION:
r
� po 41 OA/ r*5/
BLOCK: -rU LOT: ZONE: DISTRICT:
LOT AREA:
F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT:
OWNER: / j: Sc hj• o d -t-
MAILING ADDRESS: ( p
CITY/STATE/ZIP:
PHONE:
-a6- o9st
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
xxx xxxx x x x x x x x x x x: x x x x xx x x x x x x x x xx.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 x x x x x x x x x x x x x x x xx
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: \ / C) L E /c' E 3 / T/in
CONTRACTOR: O AO lLU/A).i.e�.7rA CLI5 PHONE: ,(� - %?o7 7V/2-
MAILING ADDRESS: /V t-- ('n /* RO U 5e,ei4e •�Cj •
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: LCHANGE OF USE:
BUILDING HGT: STORIES:
DWELL UNITS: / OCCUPANT LOAD:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT:
CONTRACTOR LIC%: ).,„
CONTRACTOR:
PLUMBING '{NFORMATION'
/7.• r
MAILING ADDRESS:
CONTRACTOR LICE:
CONTRACTOR:
MECHANICAL INFORMATION
" MAILING ADDRESS:
ELECTRIC: GAS: OIL:
ENERGY CODE: WSEC:
CCAL: WOOD: SOLAR: HEAT PUMP
NWEC:
UTILITY: SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
*********x**********************x******x************xxxx****x****x*****xxx*
MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING - #) OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
ATP nTNT1TOD l_lnnnn rcw(
NUMBER OF
YES OR NO
PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
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
NUMBER OF
YES OR NO
)