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1986, 01-07 Permit App: 00860006 Duplex(THIS IS NOTA 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) JFiAUtU AtytAJ ANt rUM Ut 'MN I MtIN 1 HL UJC Project Number Owner's Name LAST FIRST MI S6//y3 t: V. Project Address (Street Name & Number) Zip ?ij/ 9 -- 02 I 1)141,6 E‘..2) ecia RT .,...5---kAile aiA. 99,2 o 6 Applicant LCD/ /,,vd (Iv. Address ,S. 7, 7 Art/es City C.) pokQ46, State OUasi Zip 99'. ' . Phone (51)9) 9af ,)s�� _ Business Phone ( ) Contractor/AgentAddress c)4o/f /�,vd a,,c: , 7 / ares ,i'd City SPo764,f/e State ()As//. Zip 99ao6 Phone (soy) 9,,,. a' -a_6-9,,i' Contact F U. SE,-fr' F License Number (Required) woc FL_ c: i /69/ / Business Phone (.Soy) .92f -a -6-9-2 Architect/Engineer Address City State Zip Phone ( 1 Contact Business Phone ( ) Lender Address City State I II Zip Phone Describe Work Res. Comm. Subdivision/Plat Name/Short Plat Number / 60- d;A Coagr i4o/d1`,'o4/ / choxr P/427- e3 XV.7 Assessor Parcel Number 07.-071— a23 d 9 Lot PAgee/ e, Block Plat Number S'3 -a417 Pertinent File Numbers Zone Comp. Plan Census Tract Number of Dwelling Units a Number of Buildings / Lot Size (Sq. Ft./Acre) Depth Cl( .j -l61 - Fronts�je t4. i( Front Setback I Left Setback t 3o ' ► L0 Right Setback C) Rear Setback Additional Information lDEPARTMENT USE Square Footage rnF = )764 v 6 = itna 'a) (3fck = 320 Building Technician J0 KS 0. Dale 1- 7-86 Group R- 3 Type Yi\) DEPARTMENTAL REVIEW I certify that'l 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. Owner's Signature)ZP /./ � Date -7-1, Approved Cond.rov Approval Hold Xrn// ,�.�p.� / Environmental Health Permit Number "' —0066 5, F,J -fig U 1101 College Room 200 .e�,ryo 7 1-s �. 1- Ad -1-4-) J . U 1 ..Jf ) (0ivfit Planning/Zoning N. 721 Jefferson Permit Number// % 2' Engineers N.811 Jefferson /WA -6 0 V u Utilities N. 811 Jefferson Plan Review/Fire Prevention N. 811 Jefferson Other (SEPA/CritIcal Material/etc.) Fast Track/Special Inspection Information Project Representative Phone Address I certify that'l 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. Owner's Signature)ZP /./ � Date -7-1, PARCEL NUMBER: INFORMATION WORKSHEET d7SVV- a309' STREET ADDRESS: -eft/9--,2/ 111445 F/ Et_ D CITY/STATE/ZIP: %SAO/14ndE/ WA, 9101aPores 99.2/ SUBDIVISION: SNOA.rP%-W%- 8.2 -Ze17 Ageec. BLOCK: LOT: •IC ' ZONE: DISTRICT: AMMO )C LOT AREA://4 607 F/A: EQRE ,WIDTH: DEPTH: R/W: # OF BUILDINGS: / # OF DWELLINGS:_ WATER DISTRICT:WRTEg war- a.? OWNER: iCe ✓i seep o PHONE: Alf, - 92e - %Z Sac, MAILING ADDRESS: 4°-/oI'2 .26 T CITY/STATE/ZIP: Sipa M14A16'/ (,till. 99 ip /o CONTACT: ValGE SSE/AP SETBACKS: - FRONT: rye* LEFT: /Q PERMIT USE: Zs P4.,Eic PHONE: £b9 _- .72-a, RIGHT: /a 1 REAR: 7Q **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CCbI ! 400LFLC //f0 D04 /bVy3/9D CONTRACTOR: 4jeinem AID CO , PHONE: Se* - 92- /(0 a MAILING ADDRESS: £-96/L - /At D,1Qr/A S0/re At /CD ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: X REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: 2 OCCUPANT LOAD: BUILDING HGT: STORIES: SSE BUILDING DIMENSIONS: a yi X 7 p (WIDTH X DEPTH) SQ. FT.: /(gyp REQUIRED PARKING: # HANDICAP: Q SEWER (Y/N):.fit HYDRANT: Y MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: S -F479-2./ /l%/%,SF/eLD CITY/STATE/ZIP:506K,44E kW. 99ais- PARCEL NUMBER: 7.5-44/_ 2309 OWNER: F. V. S e1/4013MAILING ADDRESS: S- 90/4 -/dOrnJp fairE t/Ub (Street) PHONE NUMBER: 9.18.7.25re 5PoilsidE 992/2 (City/State) (Zip) CONTRACTOR: MAILING ADDRESS: LICENSE NUMBER: PHONE NUMBER: (Street) (City/State) (Zip) MECHANICAL DESCRIPTION WORKSHEET/FEE SCHEDULE NUMBER X EACH OF UNITS UNIT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 BTU HEATING EQUIPMENT +100,000 BTU GAS PIPING (EA OUTLET) REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0-3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP & AIR CONDITIONER 15-30 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP & AIR CONDITIONER +50 TONS VENTILATING FANS EVAPORATIVE COOLERS TYPE I HOOD (PER 12' OR 12' PTN. OF HOOD) TYPE II HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE) UNLISTED GAS APPLIANCE <400,000 BTU UNLISTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000 BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM z 4' = AMOUNT x$10.00 x 25.00 x 10.00 x 12.00 = x 15.00 = x 1.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = X 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = .24 o^ i( e NOTE: MINIMUM PRM,iT FEE IS $35.00 SIGNATURE S lAloct 11 SUBTOTAL $ 6842 - PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE =$9300 Tokane County Department of Building and Safety 1't Rrnw ndnv venue Snokane. WA 99260 1509) 456-3675 PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: a ,Fs4h/9_ r%/ Mwtisn o CITY/STATE/ZIP: S4A'gn1E,(J,4 OWNER: /4 d, SE//0/0 PARCEL NUMBER: d ~Je-441(-.2 .30 `3 .2A-/6eo o4t . PHONE NUMBER: 9fl-%2.r'C - ri002E MAILING ADDRESS : £- 9o/4 /,4/D,pp/p sore diet %5 c44 /E 99A/2.- (Street) 9,Z/Z(Street) (City/State) (Zip) CONTRACTOR: MAILLUG ADDRES LICENSE NUMBER: PHONE NUMBER: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION NUMBER OF FIXTURES X EACH FIXTURE = AMOUNT TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISH WASHERS 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 4 Z- i x $6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = 44 °- �Z o_ /3.e_ /1„°.-.1-• /. 6-2 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE SUBTOTAL PLUS: PROCESSING FEE $ 25.00 EQUALS: TOTAL PERMIT FEE DUE Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 e.o T 8.9sic 19/5 J aPL, " ALTEi2N47E- 'A " TT I' I R l! %Loo,C 1749 c#4 35' 8 D6c' 42'X/6 ' /73 Da'"TG Da1JE M'A It Si-oP6 W /0101. CoNGl M 1 I9 P20// �A2eCL \I� e Shoe et/4r n'eaen wn7fl v tTEE E.81in-al /V4A/5`/FLD GT 70 Tc 5 —