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
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