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1989, 04-03 Permit App: 89000696 ResidenceSPOKANE COUNTY DEPAFtMENT `OF BUILDING AND SAFETY W. 1303 BROADWAY **'ENUE 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. APPLICATION HATE SIGNATURE OF OWNER OR AGENT 39000696 ADDRE== ,yvuKANE WA 992 PLAT4- 004058 BLOCK- 7 AREA- 00000- .4 OF BLDGE- APPLICATION PAROEL- PLAT NAME- '!' LOME FOURTH ADD ZONE- DIET4- PHONE= 509 923 5672 ADDRESE= EPOKANE WA 99206 NAME- HALEETH CONETRUOTION PHONE NUMBER- 509 927 9422 X OUNTY ENGINEER DWELL UNITE- ... ... ... .... ... ... ............................................................ 39040 ... ....EQ FT- . ....... .... . PHONE- :.NGE OF LEE= SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY W. 1303 BROADWAY AVENUE 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 fATE FLF CONTRACTOR,, PRINTED Di: FORRY, JEFF • INFORMATION %4ORKSHEET • PARCEL NUMBER: 53'5 rl`% STREET ADDRESS: . ' Lor? --c- {, P CITY/STATE/ZIP: SUBDIVISION: 717113i�%,n-� ,v{, d soekiZ BLOCK: 3 LOT:______ ZONE: DISTRICT: LOT AREA: F/A: WIDTH: 3-7 DEPTH: /57.5- R/W: C; # OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT: OWNER: .J (J e N £o�nl�,.- 44,1W/fly PHONE: $-6'7 -/ 8 - 65 MAILING ADDRESS : /U - - :off 60/R v CITY/STATE/ZIP: kr5Lix. CONTACT: PHONE: SETBACKS: - FRONT: 3.3 LEFT: 3.1 RIGHT: 3/ REAR: PERMIT USE: ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: /1,9Ase cE //0 Daar CONTRACTOR: /94/5/=9/1-/ coA45: 21, MAILING ADDRESS: ARCHITECT/ENGINEER: C .1 f4S PHONE: -a77_y,)� • PHONE : 1 - 66-6 - ! ea MAILING ADDRESS: / S 3/ 5;27 roWle1( .f/, �,�s 6Ie �✓ Dl�` NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: BUILDING DIMENSIONS: y/ X STORIES: (WIDTH X DEPTH) SQ. FT.: //5;e2 REQUIRED PARKING: # HANDICAP: SEWER ON): s HYDRANT: //o-) 41,2 yY:3 6/4 rei'l //co / a.4-a-44-0u- Af-1vi r-,,1 1 /00 CONTRACTOR LIC#: CONTRACTOR: PLUMBING INFORMATION MAILING ADDRESS: *************************************************************************** MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP ENERGY CODE: WSEC: NWEC: UTILITY: SGC: APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:- - *************************************************************************** MECHANICAL FEES PLUMBING FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER 'GAS HTG EQUIP(100,000)BTU GAS; HTG --EQUIP +100,000 GAS -PIPING =-f 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 YES OR NO P ITEM DESCRIPTION PROCESSING FEE TOILETS SINKS SHOWERS BATH TUBS. KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS -ELECTRIC WA1hR HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS. LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN NUMBER,OF YES OR NO 3 lby—&fdbck 3 V' h