1988, 07-01 Permit App: 88001777 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the 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
warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT
DATE= 07/01/88 PAGE= Oi
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SITE '
, ...i N ... WA 99
206
PERMIT I..i i„ = Ni :: FAMILY RESIDENCE
•t..
004058 PLAT NAME=
:'r=
OF BLDGE=
OWNER= HALSETH, HENRY
srREEI= 12(-24 re311.1 AVL
ADDHE.YS= SHuKANE WA 99216.
CONTACT NAME= {..II::.i''{ •i 'j ;:.i i.. ,. E::. E, i" i
BUILDING SETBACKS: FRONT= a, LEFT=
.., ,..i4= Z3541-321
OME FOURTH
11 ZONE= SFR
3"'
r' W.I. WIDTH= 105
•i
ADD...
DEPTH= 122 R/W= 60
PHONE= 509 924 2189
ONE.. NUMBER= 509 ii
RICHT= 27 REAR= 37
:} }!, P. !t; :!_::- ;!i•'n. 3-.:I. R :!. P. !-.:::L ;!; .=t• §:!!..;!..;;_ .!,...,: •i!: •3!: ';!: :i., 11, * R E... . • i 1...4:1 .I. E': 11 .... S .. ... ..1 . ************:k**********
DATE
DEPARTMENT NAME : +.I::...!.E...i,:;i COMMENTS IN/OUT INITIALS
PLAN REVIEW REQUIRED
�d 1`
COUNTY UTILITIES
NEW COUNTY ROAD APPROACH
i, i i::. PLAN REVIEW REQUIRED
880629 DME
/4/60
880629
7
DMS
W/IN PRIORITY SEWER AREA
880629 DME
7-�s-
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER:
# OF DWELLINGS: WATER DISTRICT:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
PHONE:
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
******************************************************************************
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
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: SEWER (Y/N): HYDRANT:
11o2_5 1,--I r 7 26 C:!_42
/625 uc=f3
CONTRACTOR LIC#:
CONTRACTOR:
PLUMBING INFORMATION
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL: CCAL:
ENERGY CODE: WSEC: NWEC:
APPROACH: PRESCRIPTIVE:
**********************************
MECHANICAL FEES
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR0
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
AIR HANDLER 1-10000 CFM
ATA ITAMT1TVD 1 nnnn ncmz
WOOD: SOLAR: HEAT PUMP
UTILITY: SGC:
POINT: COMPONENT: SYSTEMS:
*****************************************
PLUMBING FEES
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR (14o)
TOILETS
SINKS 2
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
i