1985, 12-31 Permit App: 00009287 Residence(THIS IS NOT A PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
Project Number r3 A 7
L�
Owner's Name LAST FIRST MI
!f/. S 7 i7.s0cien s /4/L
Project Address (Street Name & Number) Zip
3 0 7 &-a ca rw MI 44 i A- 5t4 -c sc/,+,vE 991,06
Applicant
411- 4 S' ALSSeete-/2 i• tac/c
Address
/a -/ox /Vain/
City
re 0r.VE
State
Ge,t/
Zip
nay; / y
Phone r+
I ) 11 -Pig,-2___
1
Business Phone
Contractor/Agent
5/9-7,7 t—
Address
.
City
State
Zip
Phone
l )
Contacts
0 ict Esis-! irvf-
License Number (Required)
M/41 4-S c51505n4
Business Phone
( ) 9,2,2--o 7,2.-...
Architect/Engineer
Address
City
State
ZIp -
Phone
( )
Contact
Business Phone
Lender
Address
City
State
Zip
Phone
(
Describe Work -
t; /in; Cc. F iL/y 4%' /6 slfl. 402A( Ca'f7Lss'V-0
Res. /
✓
Comm.
Subdivision/Plat Name/Short Plat Num p r /
77/:.' ina,/ G'!a/ttersn33.> P /d,—" /f./id.
Assessor Parcel Number ��
275�1—Qeo/; PrN
Lot
//
Block
/
Plat Number
o
Pertinent Flie Numbers
Zone
sr -
Comp. P an
Census Tract
Number of Dwelling Units
Number of Buildings
Lot Size (Sq. Ft./Acre)
Depth
Frontage
tr
Front Setback get
Left Setback
32„ I
Right Setbacks q
.�`.a^ i
Rear Setbac
4:� o r
Additional Information
I DEPARTMENT USE I
Square Footage
t1 ikadr141>R r.' 6
r,vA Fla '02 4 t
!/at/F*/4„Y rf r.94
Building Technician
"
Date
12=31-65
Group
2-3
Type
vN
DEPARTMENTAL REVIEW
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent�is true, correct legal, and binding.
5 "4. se'
Owner's Signature
Date %v/3/! PS'
Approved
Cond.
ApprovalHold
/ Environmental Health Permit Number
AhriC
/2c3/
.-75-711,i44
W. 1101 College
Room 200
Planning/Zoning
N. 721 Jefferson
Permit Number
ia//3 /_
Engineers
N. 811 Jefferson Ala- 712
/
Utilities
N. 811 Jefferson
) Get
Plan Review/Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent�is true, correct legal, and binding.
5 "4. se'
Owner's Signature
Date %v/3/! PS'
.1.
P
/400 asss: 2307So M R cr
&SCL I 4. —r /1 /3 z- 0 /
2kAyica. E g-nrrg t fr Am,/
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a 2-
41" Pelt
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oit AST" F
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Show on Site Plan:
Additional Information:
Lot Dimensions
Existing Structures
Proposed Improvements
Structure Setbacks
Easements
Septic System (s)
Water Lines
Sewer Lines
Fences, Wells
Driveway(s)
Right of Way Width(s)
Names of
Fronting Street
Flanking Street
Landscaping
Drainage Plan
Hydrants
Topography
Lighting
Signage
Shorelines
Highwater Mark
Legal Description
Legal Description
/or' //
,)‘-'4'k i< /
"..Fi'/t Zie
Z eie/fJrn7
s'
/J% /ham
„e7'lr
e ,7,.e,-,-,
1:1//
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS: r!J 7 S it%/EC £t
OWNER: e,t.
PHONE: DAYTIME CONTACT
MAILING ADDRESS: ..3U 7 .� ., iizzA/E"e A A/6: 1-44
(street)
CONTRACTOR: )1/4/86-2 enc-,fezi r— 7w L
(city/state)
(zip)
LICENSE:
PHONE:
MAILING ADDRESS: Cc2476
(street)
YE
city/state)
99ai�
(zip)
Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 • TDD No. (509) 32431
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
vws tr.rp.� r re
PLUMJsING
DESCRIPTION
rIX' USES
DETAIL
# OF
UNITS
MULTI-
uaea
COST
/UNIT
EQUALS
AMOUNT
80
TOILETS
WATER CLOSETS, BIDETS
/
x
$6
=
$
1)0
URINALS
-
x
$6
=
$
80
TUBS
BATH, JACUZZI, SPA, GARDEN
/
x
$6
=
$
BO
SHOWERS (per trap)
BASE, STALL. ON-SITE BUILD
x
$6
=
$
BO
SINKS
LAVS/BASINS, BAR, FLOOR KITCHEN,
LAUNDRY. UTILITY, JANITOR PHOTO,
X-RAY, FOOD (PREP/CULINARY/MEAT)
/
x
$6
=
$
80
DISHWASHER
-
x
$6
=
$
BO
CLOTHES WASHER
-
I
x
$6
=
$
80
GARBAGE DISPOSAL/GRINDER
-
x
$6
=
$
BI
WATER SOFTENER
? -
. x
- $6
=
$
131'
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
x
$6
=
$
BI
FLOOR DRAINS
AREA. CASE, COIL TRENCH, CONDENSATE •
x
$6
=
$
BI"
ROOF DRAINS/OVERFLOW DRAIN
- -
..
x
$6
=
$
81
FOUNTAINS, DRINKING --. -
-
x
$6
=
$
81
WATER PIPING/DRAIN-WASTE-VE
PLUMBING REVERSALS
INsrALIAnON. ALTERATION, REPAIR.
REVERSALS
x
$6
=
$
Bi'.
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
_
$
Bi'
WATER USING DEVICES
ICE AND/OR COHFEEMAKER.
HOSE BIB. STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
=
$
BI
CROSS -CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE.
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
=
$
81
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
=
$
B2
MEDICAL GAS (per outlet/bottle stati
NITROUS, OXYGEN
x
$6
=
$
B2
MISCELLANEOUS FIXTURES
x
$6
=
$
Spokane
1026
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FE
$25.00
TOTAL PERMIT FEE DU
$
'PLEASE
County Department of Building & Planning;SPOKANE
W. Broadway Avenue • Spokane, WA 99260.c..-:::::::::.:
,MAKE CRECKS PAYABLE TOe
CiUNTY;:PERMTG.CENTER::
. :: . :. ..:....:.:.:.:.:..:..:.:::..::: . .
Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 • TDD No. (509) 32431
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
vws tr.rp.� r re
MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:
1PHONEi DAYTIME CONTACT
MAILING ADDRESS:
(street)
CONTRACTOR:
(city/state)
LICENSE:
PHONE:
MAILING ADDRESS:
(street)
(city/state)
(zip)
. No. (509) 456 3675 •Fax No. (509) 324-3198 •TDD No. (509) 374-31
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or act
7/x95 a..i..s...ru
DESCRIPTION OF WORK
A
OF UNITS
Man-
LIED
1r
/UNIT
NUJ AMOUNT
B02 FUEL BURNING APPLIANCE
= or <100,000
$12
-
s
1303 FUEL BURNING APPLIANCE
>100,000
.
$15
-
s
B04 UNLISTED APPLIANCE (ADDITIONAL CHARG
= or <400,000
$50
-
s
1305 UNLISTED APPLIANCE (ADDITIONAL CHARG
>400,000
$100
-
s
Si16 USED APPLIANCE (Must meet WSEC's min. AFU
= or <400,000
.
$50
-
1307 USED APPLIANCE (Must meet WSEC's min. AFU
>400,000
$100
-
s
B08 BOILER/REFRIGERATION
1-100M BTu
.
$12
-
$
809 BOILER/REFRIGERATION
101-500M BTU
.
$20
-
s
8I0 BOILER/REFRIGERATION
501-1,000M BTU
$25
-
s
B1I BOILER/REFRIGERATION
1,001-1,750M BTU
.
$35
-
s
Si2 BOILER/REFRIGERATION
+1,750M BTU
.
$60
-
s
313 GAS LOG, GAS INSERT, AND/OR GAS FIREPLA
-
.
$10
-
s
BI4 RANGE-
$10
-
s
RI5 DRYER C//1I •
-
1
$10
-
s
816 FUEL BURNING WATER HEATER
-
.
$10
-
s
817 MISCELLANEOUS FUEL BURNING APPLIANCE
-
$10
-
s
B18 GAS PIPING (ea. outlet)
.
$1
B19 DUCT SYSTEMS
-
.
$10
-
s
820 VENTILATING FANS
-
.
$10
-
s
1321 AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CFM
$12
-
s
1322 AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
515
-
$
1323 EVAPORATIVE COOLERS
-
.
$10
-
s
'824 TYPE I HOOD
-
$50
-
s
B25 TYPE II HOOD
-
$10
s
926 HEAT PUMP/AIR CONDITIONER
0-5 TONS
$12
-
s
827 AIR CONDITIONER
6-15 TONS
- $20
-
s
B28 AIR CONDITIONER
16-30 TONS
.
- $25
-
s
829 AIR CONDITIONER
31-50 TONS
.
$35
-
s
830 AIR CONDITIONER
+50 TONS
560
_
s
831 LPG STORAGE TANK
-
.
• $10
-
s
832 WOOD OR PELLET STOVE/INSERT
-
.
$25
-
s
Spokane
1026
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE
$25.0b
TOTAL PERMIT FEE DUE
$
-
County Department of Building & Planning
W. Broadway • Spokane, WA 99260
PLEASE MAKE CHECKS PAYABLE TO:
SPOKANE COUNTY' _PERMIT CENTER :
. No. (509) 456 3675 •Fax No. (509) 324-3198 •TDD No. (509) 374-31
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or act
7/x95 a..i..s...ru