1990, 05-16 Permit App: 90002131 Residence ' 4 M
SPOKANE COUNTY DEPARTMENT OP BUILDING AND SAFETY
W. 1303 BROADWAY-AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. 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/application 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
s::=Rr.. .t."..,.1 NUMBER= 90002131 DATE= 05/16/90 t t;J PA rl-.::: 01
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BLOCK= LOT=:::: '} 'I ZONE=E:::: ,.. I):#,.`,. I #:�::
AREA= t: ; ■,_.. is DEPTH=t'i•'i:::: ;^, .
OWNER= MCCORMACK , JOHN PHONE= 509 466 6160
ADDRESE= SPOKANE WA 99220 .
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DEPARTMENT REVIEW . -e " _ ?
t APPROVAL COMMENTS
BUILDING PLAN REVIEW REQUIRED Red 5s-17-511)
BUILDING 6--‘4 S.:-G). .-76
SETBACK 7 J-4f
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1300 r..1+ 00 D P L..A.?.r•.;Drt.A t.Nbdl:ri::. -
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ENGINEER A#^I-I'it,?3•kt.:?"#%#•'t...i..?t.?l f'?...!•`•'ii.?.. .. R It'.l''+?'i%vj' rrleCa_k,,, '5 qS
HEALT
DIST NEW OR ADDITIONAL WAETE WATER
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9 997 0895
CONTRACTOR= WESTERN CONCONET ... DESIGN INC ..:.
ADDRESS= SPOKANE WA 99220
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PRINTED BY : WEt`~NDEL.; GLORIA
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Spokane County PLE tire
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: E )4(Die) 4k �T
CITY/STATE/ZIP: Sr[_9K/- .►�JG 1„,()A.J
SUBDIVISION: HE-_, Ry-rdx<",,,--.
BLOCK: ) LOT: 1 ) ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: 75 DEPTH: 13 7 R/W:
# OF BUILDINGS: ) # OF DWELLINGS: WATER DISTRICT:
OWNER: , JL) Pr( _)e)14/i C Y PHONE: - *„: -
MAILING ADDRESS:
CITY/STATE/ZIP: �r�/���Y-0 G'Jc . Z 64-,
CONTACT: PHONE: - -
SETBACKS: - FRONT: 3Z) LEFT: RIGHT: REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: C= J /1L %- 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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
MECHANICAL rg,ERr'�IT ,APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
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)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
DUCTWORK SYSTEM / x$10.00
WOODSTOVE/INSERT x 25.00 =
GAS WATER HEATER * x 10.00 =
HEATING EQUIPMENT <100,000 BTU *, x 12.00
HEATING EQUIPMENT +100, 000 BTU x 15.00 =
GAS PIPING (EA OUTLET) x 1.00 =
REFRIG 1-100M BTU (NOT A/C OR HEAT PUMP) x 12.00 =
REFRIG 101-500M BTU x 20.00 =
REFRIG 501-1,000M BTU x 25.00 =
REFRIG 1,001 -1,750M BTU x 35.00 =
REFRIG +1,750M BTU x 60.00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ _ x 12.00
HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20.00 =
HEAT PUMP & AIR CONDITIONER 15-30 TONS _ x 25. 00 =
HEAT PUMP_ & AIR CONDITIONER 30-50 TONS _ x 35.00 =
HEAT PUMP & AIR CONDITIONER +50 TONS _ _ x 60.00 =
VENTILATING FANS x 10.00 =
EVAPORATIVE COOLERS x 10.00 =
TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) x 50.00 =
TYPE II HOOD x 10.00 =
CLOTHES DRYER x 10.00 =
RANGE x 10.00' _
GAS LOG x 10.00 =
MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10.00 =
UNLISTED GAS APPLIANCE <400,000 BTU_ _ _ x 50.00 =
UNLISTED GAS APPLIANCE >400,000 BTU_ _ _ x100.00 =
USED APPLIANCE <400,000 BTU x 50.00 =
USED APPLIANCE >400,000 BTU x100.00 =
AIR HANDLER <10,000 CFM x 12. 00 =
AIR HANDLER >10,000 CFM x 15.00 =
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25. 00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE _ $
SIGNATURE
Spokane County Department of Building_ and Safety
West 1303 Broadway Avenue Spokane, WA 9260 (509) 456-3675
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
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 OF X EACH
DESCRIPTION FIXTURES FIXTURE = AMOUNT
TOILETS 't x $6.00 =
SINKS x 6.00 =
SHOWERS / x 6.00 =
BATH TUBS / x 6.00 =
KITCHEN SINKS ( x 6.00
DISH WASHERS I x 6.00 =
GARBAGE DISPOSAL / x 6.00
CLOTHES WASHER j x 6.00 =
UTILITY SINKS x 6.00 =
ELECTRIC WATER HEATERS 1 x 6. 00 =
FLOOR DRAINS x 6.00 =
FLOOR SINKS x 6.00 =
BAR SINKS x 6.00 =
ROOF DRAINS x 6.00 =
LAWN SPRINKLER x 6.00 =
SEWAGE EJECTOR x 6.00 =
WATER SOFTENER x 6.00 =
URINAL x 6.00 =
DRINKING FOUNTAIN x 6.00 =
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25. 00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE = $
i I
SIGNATURE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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• ' IF Y01.1 CANNOT'INSTALL THIS SYSTEM ACCORDING
10 THIS APPROVED PLAN, YOU 'MUST CALL THE OFFICE
AT (5061 4E8.6040 PRIOR TO INSTALLATION,