1990, 07-30 Permit App: 90003699 Addition (f_0 rv7 &c..4_1-7--6-, e (Da(,c ) ( / i
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: 3.5252 DO43 J 2$ . ()9,4'
STREET ADDRESS: .571 /8// ...51//a.2,41 G )i4ir)
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CZTY/STATE/ZIP: ,,���?/G� 4,04,04,/U[`N/ � ,-J
SUBDIVISION: 4/ky' Viii' /6' /_ c
BLOCK: 2 LOT: ( ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W: ,
4 OF BUILDINGS: / 4 OF DWELLINGS: / WATER DISTRICT:
OWNER: Q AL/, PHONE: -, 3 Ss'- 51:
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MAILING ADDRESS: ---Cd/7Vwt.
CITY/STATE/ZIP:
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CONTACT: PHONE: - - ,
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
41-
CONTRACTOR LICENSE NUMBER: ,ei%ew(17S //Acal)
12 c a) (. i7 /C77,1� ` '�fC PHONE�.nu9 - . :1d' - .�..�l `� J..,
CONTRACTOR: �"'
J� rte t
/' O ;r _
MAILING ADDRESS: ,
.1,Y /6,// / 9:0J,/9/C j76:)
ARCHITECT/ENGINEER: PHONE: - - k�
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE: 0
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: ` i
BUILDING DIMENSIONS: % (WIDTH X DEPTH) SQ. FT. :
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REQUIRED PARKING: 4 HANDICAP. SEWER (Y/N) : HYDRANT:
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PLUMING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
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MECHANICAL INFORMATION
CONTRACTOR LICt:
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 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
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000 CFM
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