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1986, 09-17 Permit App: 00013170 Residence(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) . �� ....�... ,...� . ... �... ,.. ,� ' Project Number Owner's Name LAST FIRST MI Himalaya Homes, Inc. Project Address (Street Name & Number) Zip ' 3408 S. Pines Applicant Himalaya Homes, Inc. Address S. 104 Frey a - Suite 203 City Spokane State WA Zip 99202 Phone 1509) 535-6602 Business Phone (5092 535-6602 Contractor/Agent Zakir H. Parpia Add S. ess 104 Freya - Suite 203 City Spoakne State WA I Zip 99202 Phone (509) 535-6602 Contact Zak Parpia License Number (Required) HIMALHI161DE22301 Business Phone ( 509) 535-6602 Architect/Engineer Address City State Zip Phone ( 1 Contact Business Phone ( 1 Lender I Address City State I Zip Phone Describe Work Req. Comm. Subdivision/Plat Name/Short Plat Number i"i 1 01 LO ►vm 4" A0Pj -n 0 rJ Assessor Parcel Number ..' .3';--4 ---- 5co-4 rc-v.-nokl ) Lot L__ Block 2— Plat Number Pertinent Pertinent File Numbers Zone Comp. Plan Census Tract Number of Dwelling Units 1 Number of Buildings I Lot Size (Sq. Ft./Acre) Depth (,_/,g FrontNe 1 Front Setback Left Setback I Right Setback Rear Setback R/ W Width - Additional Information 3P - 31-30, BUILDING INFORMATION Square Footage Mr= -i()- ° Punt% _ 4V:: - tlG, 76o • (Ali, - mfg. ii Mr✓c _- a... -e-____ _. .... coo° e Number of Bedrooms dI TetchMdRn Date / 2 / i J Group Type � DEPARTMENTAL REVIEW Approved Cond. Approval Hold Environmental Health W. 1101 College Room 200 Application 0 Planning/Zoning O N. 721 Jefferson Engineers 0 N. 811 Jefferson Utilities O N. 811 Jefferson Plan Review/Fire Prevention O N. 811 Jefferson 0 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 agen to compile said a• • cation Is true and correct. Signet Date MECHANICAL PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND I certify that the above information as submitted by me is true and correct and further, agree that all pro- visions of laws and ordinances governing this type of work, including inspection requirements, will be com- plied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state of local laws regulating construction or the performance of construction. SIGNATURE OF APPLICATION OWNER OR DATE Project it Owner's Name Last First MI Project Address (Street Name & Number) City State Subdivision/ Plat Name Assessors Parcel M Lot Block Plat ft Applicant Address City State Zip Phone Business Phone Contractor _ Address City State Zip Phone Contact License N Business Phone Describe Work Fans Evaporative Cooler Hoods Electric Furnace/Ducts Miscellaneous Dryer Range Gas Log Gas Water Htr. Solid Fuel/Wood Stove Air Handling Units 0-10,000 CFM 10,000+ CFM Refrigeration Systems/ Heat Pumps (BTU) 1-100M 101-500M 501-1,000M 1,001-1750M Over 1750M Compressor 0-3HP 3-15HP 15-30HP 30-50HP 50+HP Gas Piping 1-5 Outlets 6+ Outlets Gas Fired Heating System 1-100,0008TU 11Q,,;, 10v,..;00+ BTU I certify that the above information as submitted by me is true and correct and further, agree that all pro- visions of laws and ordinances governing this type of work, including inspection requirements, will be com- plied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state of local laws regulating construction or the performance of construction. SIGNATURE OF APPLICATION OWNER OR DATE N W Q I- X X L U- 0 W m 7 Z PLUMBING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND ' Project I/ Owner's Name Last First MI Project Address (Street Name & Number) City State Subdivision/Plat Name Assessors Parcel a Lot Block Platy Applicant Address City I State 'Zip Phone Business Phone Contractor Address City I State Zip Phone Contact License 0 Business Phone Describe Work Bar Sink(s): Drinking Fountain(s): Floor Drain(s): Washing Machine(s): Deh Wshr(s): I. Garb Dlsp(s): Kit Sink(s). I Lndry Tray(s): 1 I Sew Eject(s): Urinal(s). Wtr Closet(s): Ufa):: 2. L� Shower(s). I Tub(s)' I Bidet(s): Other: Type; Waste/Grease Interceptor(s): Sewer Y N Septic/ Health No.: Electric Water Heater(s): I Drains -Roof: REPAIR OR ALTERATION: Drainage, Vent, Water Piping/Treatment: Y N Lawn Sprinkler System (s), including backflow device on any one meter: Vacuum breakers or backflow devices in excess of Ilne 16:1-5. (Or) 5+ I certify that the above information as submitted by me is true and correct and further, agree that all pro- visions of laws and ordinances governing this type of work, including inspection requirements, will be com- plied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state of local laws regulating construction or the performance of construction. SIGNATURE OF OWNER OR AGENT DATE APPLICATION ,iS I -. tor- If .13 • GA A FOS1 AD.D,77 6;1! /091c e: 9 MA- . Contractor: Himalaya Homes, Inc. : Scale: 1" = 20' • - .... • • 85' T Go) • 71-1 i fl Contractor: w Himalaya Home4:11-6 i1 -Address: 3408: =S.:>tineh'... el.:C.�-.1 Legal: Lot ?; glk 2 l{idi�tlire7� - Scale. 1" 70'.._.!. 4-1 n rn�u�o 161" -/- 27'% 4' . c , E G1J,>t g 6431"' _rw r« .....' ...,....L....,....L.y- a i- ±11:1. L'.