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1988, 03-15 Permit App: 88000502 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 hereih 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 OWNER OR AGENT DATE APPLICATION PLATt= '"04152 PLAT NAME= MIDILOME 4TH ADD BLOCK= LOT= 5 ZONE= EER AREA= ,M000000 F/A= WIDTH= 36 OWNER= NORTHWET ADDREEE= :::POKANE WA ?92 CONTACT NAME= E... ARNOLD ILDINQ EETBACK: FRONT= '30 4* REVIEW INFORM REVIEW COMMENTE BUILDING & SAFETY NTY NEER ...... .............. X53. IN/OUT INITI REMC PE . 0 I 7 "4%. A: )NGE .... ...... .... . PARCEL NUMBER: a3.5 STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: 4/d/4p1 p- INFORMATION WORKSHEET kAA. s . S22C 44'4' A./.1, /` BLOCK:_7 LOT: DISTRICT: LOT AREA: F/A: F WIDTH: 24 DEPTH: J5 / R/W: coC� # OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: tl) OWNER: /" t ie 7Ii u . ` ` 4/Qtr 4rS PHONE: - 697 ff MAILING ADDRESS : ?Q, /41)2 S CITY/STATE/ZIP: ;v; ,,C,io1."0.0 % 5e t I 'L,, CONTACT: /4e40 ',f''PHONE:-,.�,i�'��' 1° SETBACKS: - FRONT: O LEFT: ZS" RIGHT: "L"' REAR: PERMIT USE: I�ESc©��cC - ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: e v2-71- P l 4% c /a? CONTRACTOR: PHONE: MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW:' REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: 1 OCCUPANT LOAD: BUILDING HGT: STORIES: 1. BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: 705 kir 7Gb aArc v �LJd 1OS tire CONTRACTOR LIC#: CONTRACTOR: PLUMBING INFORMATION MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: ENERGY CODE: WSEC: CCAL: WOOD: SOLAR: HEAT PUMP NWEC: APPROACH: PRESCRIPTIVE: UTILITY: SGC: POINT: COMPONENT: SYSTEMS: *************************************************************************** MECHANICAL FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)BTU 0 GAS HTG EQUIP +100,000 GAS PIPING - # OF UNITS '2- 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 ATO IIA ITTT IfD 1 —1 AAAA maims PLUMBING FEES ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WA1ER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER OF YES OR NO 2 1 1 7 1,1 ij 4 '1 9.