1988, 04-28 Permit App: 88000999 Garage, BreezewaySPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 DATE
PROJECT NUMBER= 88000999
APPLICATION
DATE= 04/28/88 PAGE::= ()i
APPLICATION
SITE' STREET= 18710 E MONTGOMERY AVE: PARCEL'r= 08552-••100£3
ADDRESS= OTIS ORCHARD WA 99027
PERMIT USE= ATTACHED GARAGE" W/BRE.EZEWAY
PL..AT'W-•: 000146 PLAT NAME:== BARKER ROAD MOBILE HOMES i ST A
BLOCK= 9 L.OT= 8 ZONE::.- RMH DI:ST�= G
AREA= 00000000 F/A-: w WIDTH::: 67 DE PTH== 1(3£:3 R/W:- 60
0 0F BL..1)GS== i In, DWELLINGS=: i
OWNER== HATHAWAY, FRED G 1--+1ONE=
STREET=: 18'710 1=: MONTGOMERY AVE
ADDRESS= O'T'IS ORCHARD WA 99027
CONTACT NAME= OWNER PHONE NUMBER=
BUILDING SETBACKS: FRONT-: 40 LEFT= 16 RIGHT= NA REAR= NA
REVIEW INFORMATION
DATE
DEPARTMENT NAME' REVIEW COMMENTS IN/OUT INITIALS
BUILDING & SAFETY PL.AN REVIEW REQUIRED 880428 GMW
ENVIRONMENTAL_ HE AL.'TH INCREASE IN LOT COVERAGE' #3£:304:' GMW
CONTRACTOR= OWNER
DWELL UNITS=: i
BLDG W X D 33
REQ PARK INGY =
DE:SCRIPTI:ON
GrARAGE.
PE:RMI'T 'TYPE
BUIL-DI:NG 1='ERMIT
BUILDING PERMIT
REMODEL==
0C(:,UP. L..D=
X 3 *7 SQ F: T =_
'HANDICAP==
GROUP TYPE
M •-• i V N
I`ET•_E: AMOUNT
.00
.00
PROCESSED BY: WENDEA.., GLORIA
PRINTED BY: WENDEL, GLORIA
PHONE==
ADDITION:- X CHANGE OF USE::::
BLDG; HGT= 8 STORIES= i
1 221
SEWER=: N HYDRANT= N
EQ FT VALUATION
1221 8547.00
AMOUNT PAID AMOUNT OWING
.00 <00
.00 .00
xttx>� xxxxxxRx xx x tt a� >ktt THANK YOU xa� xatxx rexycttat ac a�xre>ttt; ttxtt a�
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: !3(. 7
CITY/STATE/ZIP:
susDlvlsloN: ,dTz 2 f�6
kne-rca 14e)"e
BLOCK: LOT: ZONE: DISTRICT: a
LOT AREA: F/A: WIDTH: DEPTH: R/W: (0(7
# OF BU`ILLDINGS: 4 # OF DWELLINGS:
OWNER:
MAILING ADDRESS:
WATER DISTRICT:
PHONE:
CITY/STATE/ZIP:
CONTACT:
PHONE: - -
SETBACKS: - FRONT: LEFT: I& RIGHT:illA REAR: KjXIS
PERMIT USE: A-r-rAC°gelp OA' G --
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
BUILDING
BUILDING INFORMATION
PHONE:
PHONE:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: 6STORIES:
BUILDING DIMENSIONS:31:3 X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
PLUMING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
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
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO
PROCESSING FEE YES OR NO
DUCTWORK SYSTEM
TOILETS
WOODSTOVE/INSERT
SINKS
GAS WATER HEATER
SHOWERS
GAS HTG EQUIP(100,000)BTU
BATH TUBS
GAS HTG EQUIP +100,000
KITCHEN SINKS
GAS PIPING - # OF UNITS
DISHWASHERS
HEATPUMP 1-100 BTU
GARBAGE DISPOSAL
HEATPUMP 101-500 BTU
CLOTHES WASHER
HEATPUMP 501-1000 BTU
UTILITY SINKS
HEATPUMP 1001-1750 BTU
ELECTRIC WATER HEATERS
HEATPUMP +1751 BTU
FLOOR DRAINS
REFRIG 1-100 BTU
FLOOR SINKS
REFRIG 101-500 BTU
BAR SINKS
REFRIG 501-100 BTU
ROOF DRAINS
REFRIG 101-1750 BTU
LAWN SPRINKLER
REFRIG +1750 BTU
SEWAGE EJECTOR
AIR CONDITIONER 0-3 HP
WATER SOFTENER
AIR CONDITIONER 3-15 HP
URINAL
AIR CONDITIONER 15-30 HP
DRINKING FOUNTAIN
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTHES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
(.. - - . Ca '` U L) 40 Reel
SPOKANE COUNTY HEALTH DISTRICT
E. 0. PLOEGER, M. D., M.P.H., HEALTH OFFICER
N. 819 Jefferson Street
Spokane, Washington 99201 61,;171
1
DATE
PERMIT N0.
No. A 14239
APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
--7 4E'
Name d �"`c�Gr� Address ��" Phone No/ �—°26gy
Address of Proposed Site ��?/l� �' • ` d
Type of Use
Number of Bedrooms
Building Capacity
for building planned?
Camp Capacity
Other
Water Supply C
1-
(City, Well, Spring). Drywell
Septic tank capacity
-5�
C
gals. Style of tank
Length of disposal field
lJ
�6
Absorption Pits Leach Bed
(1) Show relative location of: Proposed house, septic tank,
disposal field, well, garage and other out buildings.
(2) Make note of any heavy slope or swampy area or any
other important topographic details.
r
i
(! -760�
5okone
41, z✓
/' \/ tw
f Trd r �✓ C"
vra���•
FORM 346 REV. HEALTH For Spokane County Health District