1989, 05-22 Permit App: 89001383 MHSPOKANE 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 r1ATE
PROJECT ii• YtE r':;: 89001383 DAT 05/22/89 PAGE=
APPLICATION
je}L n ]* ::}:* 5 * } : r : }}:}** .* ir:* APPLICATION t * * s. * * 7 4 }* yjt * * f ) } * * * * s yj*
STREET=
..,E . _.. 1 ) : [ MONTGOMERY
' :` t - : ` t::' .., i.. #
SITE ,:; ? �": I::. (::. 1 ._. 1 !` ! 'v:� x4 1::. ! f !_� ! t -1 F Y �� �'� �::. i"�. s i••? �!� i:. t i�•? �': }.: !... e... .y. _.. 07553-0105
ADDRESS= is t'••. !::. t::. {'•: iLI;.: i? (::.:.. WA 99016
PERMIT USE= SINGLE WIDE t ,,...!i iI!._f:.. HOME REPLACEMENT
PLATO= :•' tt..._ +'•;,"'!•'h9 PLAT NAME= _, j q •y- {t :• !t GREENACRES
BLOCK= LOT= ZONE= AGRI DISTO=
.I{. OF ..., ...t i.. {., .... + 1 •!i• 'r" i . # I "` {" `:' =
OWNER= ..• 4•t. i" PAUL
STREET= 4706 N FARR RD
ADDRESS=
SPOKANE WA 99206
PHONE= 509 927 0448
CONTACT NAME= OWNER ': (.. Hf?i'lE NUMBER=
BUILDING SETBACKS: FRONT= T! LEFT= • G ^ 1
t * , X & !;5*3}Ni:!ihj}yt}ja {j, F * * REVIEW Iiii "'1•„ikjjj* „* i i : f i # 3 i iu N : ;
k
DATE
_: ?i I ! _N NAME REVIEW
(Vi_WiO :_NT'IN/OUT INITIALS .T.:?:BUILDING '.J! SAFETY `''E"1R. ACK REVIEW REQUIRED
.............................
2) _ ? „a"_A"% : t HEALTH d _ _
:ORFl j I! ti ' _ . WASTE h^T:i890522 Y ` '
C.UNTY PLANNING INAPPROPRIATE USE
WITHIN 7nNE C90522
........ i............ _.. _......_.........._..................._......_....._...... 5'L%
i ei0(
e� — 13' s.c(
.......................w. •]s:.yk• •R 'tt; .j,...h;• %!: fit: ':..........0 B J. i.. (... 1.., _! ?'1 !... p !.:. R P'! .?. ! *******************§§*****
CONTRACTOR= OWNER RHONE=
YR/MAKE= 1981 MARLETTA
,., ....., •!' :•: ! .u.....
iv ' `.•e . BY - yC")E!, GLORIA
PRINTED BY: WENDEL, GLORIA
MODEL=
WIDTH= 14 LENGTH= 70 HEIGHT= 10
* * mofirijti:; a » :}jH }}Fdi PiYh*?tTHANK ***,k*****************************
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: U `.7 S 5 3 -
STREET ADDRESS: / 2 7 , 7--6 Phi 4
CITY/STATE/ZIP: Sm/ k g ,1v71 i/I//1/
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: )3a DEPTH:45-2 R/W:
$ OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT:( .v.piV ,1C,'' -S
OWNER: _-Jr'
. `� . PHONE : �� 7 - p % - p
%9d/ 01,o Y}d r i 67 C 01; / 4' 'Grr
NAILING ADDRESS: /L 1-/ %, L ®p j-' ,( QJ
CITY/STATE/ZIP:
CONTACT: `�/7/777 •--c"? Y
SETBACKS: - FRONT: C,, 7 LEFT :._1 2
PERMIT USE:
�1rr 1Q8/
PHONE :j2 2 - o 2 'j� r
RIGHT: 3 cREAR:
/16(76
****************************************************************************
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL:
PHONE:
ADDITION:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS: %
REQUIRED PARKING: # HANDICAP:
CHANGE OF USE:
BUILDING HGT:
STORIES:
(WIDTH X DEPTH) SQ. FT.:
SEWER (Y/N):
HYDRANT:
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
***************************************************************************
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
MECHANICAL INFORMATION
ELECTRIC: GAS:
ENERGY CODE: WSEC:
OIL: CCAL:
NWEC:
APPROACH: , PRESCRIPTIVE:
WOOD: SOLAR: HEAT PUMP
UTILITY: SGC:
POINT: COMPONENT: SYSTEMS:
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MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING - # 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
AIR HANDLER 10000 CFM
NUMBER OF
YES OR NO
PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
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
NUMBER OF_
YES OR NO
L
$Y os1ev cPOev'
' l6i. F IiM (n) 773-5$N
affliS
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