1990, 09-07 Permit: 90004441 Plumbing Reversal, Valves SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. 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/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violateor 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
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INFORMATION ,,iOPKSHEET
PARCEL NUMBER: //51/3 - [1040
STREET ADDRESS: ,Aj) /a I SV, Q.R 14.-' 1.
CITY/STATE/ZIP: 5100(-644.) -e__ 5 7l;2-0C
SUBDIVISION:
BLOCK: LOT: ZONE: 111RT DISTRICT:
LOT AREA: F/A: WIDTH: PY} DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: icy 6 R Le PHONE: /',.174�- 4g;g-�
MAILING ADDRESS: a�-
CITY/STATE/ZIP:
CONTACT: PHONE: - -.
SETBACKS: - FRONT:. LEFT: RIGHT: REAR: _
PERMIT USE:
******************************************************************************
BUILDING INFORMATION/
CONTRACTOR LICENSE NUMBER: f' /$S o4(c�>
)r_57
CONTRACTOR: /4 C p/4 k G'/ J7 PHONE Y - J` o
MAILING ADDRESS: �G I � � 7 /"%11 -
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE: Sip r G
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:
Revised 1/88
PLUMBING INFORMATION
CONTRACTOR LI C M : 4 C /7*J SS` (, j kS
CONTRACTOR: C -� C vg f 6 J c ?c //3 5-37
MAILING ADDRESS: ,SPG 1CA5 97, j5 -- S 7
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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:
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MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTIONNUMBER OF ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO PROCESSING FEE cOR 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 G SSS , r-f; rev_ 5,"
co
AIR CONDITIONER +50 HP l
VENTILATING FANS tic K f V/ Jtifes C 0
EVAPORATIVE COOLERS 2,_
HOODS
CLO'T'HES DRYER f �e� c ��ki� �
� q"' do
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000 CFM