1988, 03-15 Permit App: 88000500 Residence r
SPOKANE COUNTY DEPARTMENT'OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 DATE
PROJECT
: 1 I. : NUMBER—
_8 ; } , Sy DATE=
' 1 _ }, /ri • { PAGE= ; •
APPLICATION
J. .......... ..* .t.....:
'}!:'}!:'i*::i=:Vii:}*:�i:+i::if..,i..,,..:i.:}t..i5..}i.:i!::i'::!j::ii:"Jt:'Jk'}'•::i'::F')'•:'Jt::!i:'Jt::it:Si::if�f':!t' 1"I I�-l�•i....I.�..•f'I I .i.i..l j'>3 :�:.5:._!i..7;..ji::ii.;1(..}!..Jt..tf..i�..}t.:�..i!:.!i::,i.Sj..i.:!!-•!!-il..µ..3..!j..:l..!..i..!t..!!..;!.
SITE S 1 . I _ 5008 ? ^ " j i t { ET ;
: t1t ! . 05441 -1619
ADDRESS= .., ... '•.AN1::. WA 99206
PERMIT USE= RESIDENCE
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PLATO- �:i t:�:A'...:!•:!!•.} PLAT f.� i �i{i..�. ::..... �.v:`- :.�.:.V { tt
.I.:f E..i_1i.�,::::. LOT=:::: 2 ZONE= i�1 t_•r,. � .. .l.ET a..... k7
AREA= 00000000 F.'...:• F WIDTH= 138 DEPTH= 186 I'4/W= 6:7
OWNER S7 N.r•i.._T , I::HON E:::: 509 :a 4 0 6 3
ADDRESS= ,.;P€_i1;i•'•=.`:1 I:: WA 99206
CONTACT : -\ . . OWNER
: Yiil { ' € NUMBER=
. . . Dr: �... ]1 . ir~ 1 . " . N . xr! LIf.T= 27
RIGHT- 20 REAR= 100
nt sn: a :t * j {* :*k. {: { ic t :** {: * S7REVIEW INFORMATION { t*: aa .. : P7 : *i - i * :p**y ** :
DATE
DEPARTMENT NAME REVIEW
rJ. . ` M l ` � IN/OUT : . _ . •
--------
BUILDING fSAFETY PLAN REVIEW t { is i . ;1 ' 8803_15 -MI:
O .........................__.......................... 3.1..x.........
•
COUNTY ENGINEER N i::.W COUNTY ROAD fA#I". :;i.Jf••iCI'. . .. ... I ...
ky/5.-/
{::.N`'n l..i\!1"i•?!... I"I I::.{..i 1... I I"I t41.:,;!;s i..•1"•: ..: .: a. I .I.{..!t'`F•1 I... ,. _;:r"1 I::. WATER
: {: r: } t {; 3 t 3 *: A} a : : { { {: { t { {; * BUILDING f :: ! {: f. } (j . } { .3 ..3 1 L 3 :7l : L: }
CONTRACTOR= Oi.WA.ii::R PHONE=
NEW-
. - ; REMODEL=
IMilE . A ±E ' ( l ( •
i : ,
OF USE=
DWELL UNITE- ! (] f. I I BLDG I'IG.••:... 12 STORIES..
REG; PARKING= OHANDICAP= SEWER- N HYDRANT- N
f
INFORMATION WORKSHEET
PARCEL NUMBER: O S 411-1 r 1 („ 1 9
STREET ADDRESS: 5j O `> �'
CITY/STATE/ZIP: C (r
SUBDIVISION: ` - �2�.� , A,01 k t '‘.i1, �`� SP 86-` /7,/
BLOCK: < LOT: 3 ZONE:AS DISTRICT:
LOT AREA: F/A: WIDTH: 12,E3 DEPTH: /E45 R/W:
# OF BUILDINGS: 1 # OF DWELLINGS: 1 WATER DISTRICT: _
OWNER:
SLM� j-N PHONE: ��9 — — fl co
MAILING ADDRESS: , . 9. v ,
CITY/STATE/ZIP: \ 9 O , 1 Tc9�
1 1
CONTACT: PHONE: — —
SETBACKS: — FRONT: 36 LEFT: 2-7 RIGHT: REAR: /e)
PERMIT USE: EE DE .(�C[,
******************************************************************************
BUILDING INFORMATION L
CONTRACTOR LICENSE NUMBER: NI
c, < j_. j J (<
CONTRACTOR: )`‹ 2 .y\,. �... �J� ,oma PHONE: C - Ul e7—
MAI L I N
MAILING ADDRESS: 477 0
ARCHITECT/ENGINEER: PHON': — — �
MAILING ADDRESS:
NEW: 1'/ REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: j OCCUPANT LOAD: .) BUILDING HGT: ' ,." STORIES: I
BUILDING DIMENSIONS: 9 f X {, (WIDTH X DEPTH) SQ. FT. : C ,
REQUIRED PARKING: # HANDICAP: SEWER (YIN) : HYDRANT: 2�2,
rtCre 728 C AS • (0f02.
! t tF8 20gi- arc=nK
w r, r
PLUMBING 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 3
WOODSTOVE/INSERT SINKS 5
GAS WATER HEATER ( SHOWERS 2--
GAS HTG EQUIP(100,000)BTU q BATH TUBS 1'
GAS HTG EQUIP +100,000 KITCHEN SINKS (
GAS PIPING - # OF UNITS Z 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 1
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
AIR HANDLER 1-10000 CFM
C 1
i
MAR-16-'88 16:09 ID:HEALTH SPO TEL NO:509-456-4716 #173 P01 ...........
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