1987, 04-23 Permit App: 87001078 Residence 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 NOTICE provisions included herein and agree to comply with same.All provisions of laws and I
ordinances governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
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* INFORMATION WORKSHEET
********************************* 24. 5
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*
*
* PARCEL NUMBER: 2-I£J if-4- — 4/1 *
*
* STREET ADDRESS: II II q7-14- Ave. *
* *
* CITY/STATE/ZIP: *
* *
* SUBDIVISION:* *
* BLOCK: I LOT: E; ZONE: DISTRICT: *
*
* *
* LOT AREA: F/A: WIDTH: 48 DEPTH: 150 R/W: *
* *
* # OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT: *
* C• PHONE: *
* OWNER: APPi� 1 D S j *
* MAILING ADDRESS: 1 ( 4-2_5 la 44=r4 A v *
*
* CITY/STATE/ZIP: POAUf✓ 4.0/4 q4V *
L , *
* CONTACT: � I C•f I I�-1 ELL I PHONE: 59q -q24 - �'�
*
* SETBACKS: - FRONT: 3O+ Cl
LEFT: iU RIGHT: / 1( REAR: 2
*
* *
* PERMIT USE: *
*
***************************************************************�*r* ************
* S SI) BUILDING INFORMATION �. 6.'S1, *
* CONTRACTOR LICENSE NUMBER: 4 APP 7 __ M - *
S
*
* CONTRACTOR: PHONE: - -
*
* *
* MAILING ADDRESS:e*
*
_ - *
ARCHITECT/ENGINEER: PHONE:
*
-* *
* MAILING ADDRESS: *
* *
* NEW: )/ REMODEL: ADDITION: CHANGE OF USE: *
* DWELL UNITS: I OCCUPANT LOAD: BUILDING HGT: STORIES:
*
*
* BUILDING DIMENSIONS: X -ill' (WIDTH X DEPTH) SQ. FT. : *
* *
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:
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15-0 .. --k_f r .500-'1:' GAR
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*sx **********:** *******tis*****s*********o***********************x:***********
* •
PLUNEINC INFCRUATIC1
*
*• CONT R LIC# :_--__ -----
* *
* CONTRACTOR
* NAILING ACCFESS: --------- --------- *
*
*******t** t* tt *x** tt*****t **#************;*** ***********4x*****t *******t******
* MECI-AN ICAL INFORMATION
* CON1R L1C4 : — *
* CONTRACTOR : _ PFCNE :__-- _-- *
*
* MAiL1NG ACCRESS : *
* ELECTRIC :_ GAS :___ CIL:___ CCAL :_ FEET_ tttOD:___ SCLAR :-_- FUNP:___
*
x*tx**t*t**txtxttsttt***s******' ***s****************** ttxt* * xsxzxsst** 44ttx *
**********#********************************** *****************************:*******
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NUMBER CF ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR (6) PROCESSING FEE YES OR
DUCTWORK SYSTEM ___L__ TOILETS - 2'
wOCCSTCVE/ INSERTSINKS -2=--
GAS WATER HEATER _— SHOWERS - I -
GAS hIG EQUIP<IOC.000>BTU — EATI: TUBS -SINKS t
I--
GAS t,TG EQUIP+100.000 BTU KITCHEN -
GAS PIPING - # OF UNITS _ DISH WASHERS ____1__
HEATPUNP 1-100M ETU _ __ GARBAGE OISPCSAL
HEATPUMP 101-5OON BTI; _ — CLOTHES trASHER _-1
HEATPUMP 501-1,000M BTU - ____— UTILITY SINKS
HEATPUMP 1 ,001-1750M BTU ______ ELECTRIC DATER HEATERS __l__
HEATPUMP +1 ,750M B1U _ FLOOR DRAINS -
REFR. IG 1-100M BTU ___ FLOOR SINKS REFRIG 101-500n 8TU _--_ BAR -SINKS
REFRIG 501-1,000M BTU __ ROOF CRAINS
kEFRIG 1,001-1,750M BTU ------ LAWN SPRINKLER -
REFRIG +1 , 750M BTU . _ _ SEWAGE EJECTOR —
AIR CONDITIONER 0-3 HP _ WATER SOFTENER --
AIR R CONOIT ICNER 3-15 hP _—___ URNAL ----
AIR CONDITIONER 15-3C HP DRINKING FOUNTIAN
AIR CCNCIT ICNER 30-50 HP _
AIR CONDITIONER +50 HP ----
VENTILATING
—
VENTILATING FANS
EVAPORATIVE COOLERS _—
HOODS - -
CLOTt-ES DRYER ------
RANGE -_----
GAS LOG ------
UNLISTED GAS APPLIANCE --_---
AIR
_AIR HANDLER 1-10000 CFM _ __
AIR HANDLER 10000+ CFM _ __
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