1993, 03-10 Permit App: 93001363 Finish Basement L .
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: 7L g
` I VI
STREET ADDRESS:
CITY/STATE/ZIP: Spc / kne 1-✓ `+ . 9 `D1
SUBDIVISION:
BLOCK: IAT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: 1 ).5- R/W:
if OF BUILDINGS: ' # OF DWELLINGS: 1 WATER DISTRICT: E,54 5Pok%ht
OWNER: (n/grner (A11-7190/0( PHONE: Sd`( - f1 - 0501
MAILING ADDRESS:
711 qth
CITY/STATE/ZIP: 5/fn 16'(Int w �i a 1
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR: .
PERMIT USE: Ba2LYLLYd -is�lrL4 -
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*******************************************. .*** �, * *********/*
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: .PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: I HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE:
SPACE HEATING TYPE (Check One)
FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT
FORCED AIR GAS HEAT PUMP
PROPANE OTHER:
FLAT CEILINGS R DOORS U.
VAULTED CEILINGS R WINDOWS U
ABOVE GRADE WALLS R GLAZING AREA
BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R
SLAB ON GRADE R FURNACE EFFICIENCY RATING
PLEASE INDICATE ON YOUR PLANS:
The location of the radon vent, and the location of the vent fan area.
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SQUARE FOOTAGE:
MAIN FLOOR
SECOND FLOOR
BASEMENT - FINISHED
UNFINISHED
GARAGE
CARPORT
DECKS
ADDITIONAL AREAS:
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LENDER/BOND HOLDER: .
ADDRESS
CONTACT PHONE
r .
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: I
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT =AMOUNT
TOILETS I x 6.00 =
0
0 =
SINKS < : ' ;: ` ` `:: .:..`:.::'`';' ;: 1 x6'
;...:.....
SHOWERS x 6.00
x6.0
0 =
BATH:..TUBS.<:;:::<'.:::::>: ' :>::'::>:>`:< ::: `.":``::,;::.`';..`:>;:::;;.:.. .
;.«:»;:.::.;:.;:;;:.; ;:.; :. ::::..................
KITCHEN SINKS x 6.00 =
x
6.00 =
DISH.WASHERS : :. :<::::<< ;:::::.>`::::: x 6.00 =
GARBAGE DISPOSAL
x6.0
0 =
CLQTHES WASHBR ;;>;;;:.::>::i::::> >
UTILITY SINKS x6.00 = `
ELECTRIC WATER HEATERS; x 6.00 =
...
FLOOR DRAINS x 6.00 =
FL.0 OR SINKS.: .:;:";::: ., :Em:,.,::.,,,,,,,,,::::mm, ,.,.:,.;,::,:,.:::i.",,.,:,,::i,,,,,„,„,1,„„,„„,.:„„, x 6.00 =
BAR SINKS x 6.00 =
x 6.00
:: .:: ... . . . .
LAWN SPRINKLER— FOR EACH BACKFLOW DEVICE
SEWAGE ECTOR
0 =
...: .......
EJ ;:. ::. :. .. .. x 6.0x 6.00 =
WATER SOFTENER
. 0 =
URINAL .:: ; ::::.: . ......
x60
: .: .:::: : . :.. ..::.
DRINKING FOUNTAIN x 6.00 =
SUBTOTAL $
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS: TOTAL PERMIT
FEE DUE _$
SIGNATURE
Spokane County Division of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675