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1989, 12-08 Permit App: 89005137 ResidenceSPOKANE 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. 1 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 OWNER OR AGENT APPLICATION HATE t.e ..,. ... a.. gg 12- r I t 1 0. Ib 412 s5' s' _n r; Cst.+.oa 1.. 3 , (3 / /vi w/LOP'14 STH "= H910" 00%0nl ( ` © os 11 Spokane County DEPARTMENT OF BUILDING & SAFETY West 1393 Broadway bveriue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: ]. 7151-1 CITY/STATE/ZIP: SUBDIVISION: `gyp20 ivl cl k Acid BLOCK: I LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH:9 Q DEPTH: 16 2- R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: / ode L OWNER: (il? C PHONE: - - 70 cv MAILING ADDRESS: E. l Z Z t C?Z CITY/STATE/ZIP: f p /AH , 9 9 �0 CONTACT: F i3 PHONE: - - SETBACKS: - FRONT: 30 LEFT: j Z RIGHT: PERMIT USE: k************************************************************************** (2 REAR: EZ\ BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: G CONTRACTOR: CyRp};,,,./ MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: 6/04'46E- DWELL 6-DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: l!JC BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: 551 Fktkilst+ - 3r & uTin TTDt n n Dv rtu . 4 tr rnTr' n. QT?TT40 /v /LTA . / uvivommm PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: -30:X(0 C & )( i CITY/STATE/ZIP: < } LO,3 ao ce. PARCEL NUMBER: OWNER: aoj44, /dP 4- PHONE NUMBER: e MAILING ADDRESS: . r Z (Z— 5 c e 1 -t -X CPL 3 4)4 . �' 9'.261 < , (Street) (City/State) (Zip) CONTRACTOR: =�pO X21 Q�_ LICENSE NUMBER: Gezam-1 f/ 524 / 4Nu PHONE NUMBER: vvj' MAILING ADDRESS: c� F (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 A 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 = 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 L • - y 4014, ,4 MECHANICAL PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: CONTRACTOR: (Street) MAILING ADDRESS: (City/State) (Zip) LICENSE NUMBER: PHONE NUMBER: (Street) (City/State) (Zip) MECHANICAL WORKSHEET/FEE SCHEDULE NUMBER X EACH. DESCRIPTION OF UNITS ITNIT DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER HEATING EQUIPMENT <100,000 HEATING EQUIPMENT +100,000 GAS PIPING (EA OUTLET) REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) REFRIG 101-500M BTU BTU BTU REFRIG 501-1,000M BTU REFRIG 1,001-1,750M BTU REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER HEAT PUMP & AIR CONDITIONER VENTILATING FANS _ EVAPORATIVE COOLERS 0-3 TONS 3-15 TONS 15-30 TONS 30-50 TONS +50 TONS TYPE I HOOD (PER 12' OR 12' TYPE II HOOD CLOTHES DRYER RANGE GAS LOG PTN. OF HOOD) 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 = 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 = 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