1988, 03-09 Permit App: 88000445 Carport INFORMATION WORKSHEET
PARCEL NUMBER: 2 4`_) "3
STREET ADDRESS: 6 0 /0 , /; (1‘.,
CITY/STATE/ZIP: /2l'14 .t`.. �� jp. _ ��' ' 7 - _ /,
i I
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: i L J ' , (AltIL C-- PHONE: C;) _ � _ G2 Q f
MAILING ADDRESS: / , /
CITY/STATE/ZIP: (A,/ -
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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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: # HANDICAP: SEWER (Y/N) : HYDRANT:
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
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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:
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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
ATR RANT T.RP 1(1(1(1(1 rpm
AMEMMININNEMENommommool
SKIP'S ALUMINUM AWNING & PATIO COVERS Installation �� �
10505N-.�bivis ,on Spokane, WA 99218466-2707 Address
Nearest
NAME 1=- l'-') '_,'.C- ,moi cross street
Home
ADDRESST, c- ,- /r% -/h phone Jac W'D/ Business
CITY STATE STRUCTURAL PATIO-Fill in all dimensions in feet
... , .
DATE Zip _�..nim.smin
Within city limits? yes No
' Codeii ------��----��
L
you re 1.61
ry, . -_j
=-,-1 .)... Patio Cover Specifications
_, "`" JJit' ---: 1 .Type of Installation:
d
I_ r' <2 ' Mobile Home Stucco Frame Brick Stone
, c �,`'_�7: ! Other — — — -
-j2.Ultimate lead: 20 lb. _ 40 lb. -_ 60 lb.
3.Posts to be: (ind7cate correct installatioT
7..-4.-./T. :, , Installed on Cement Slab Cemented into Ground
Break throug►. Slab Underpack Slab -
; f. ` :r 4.Type of Posts to be used: Scroll Columns
Qty. Single Posts Qty.
5.Number of skylite panels
6.Are Posts to be Set-Back: Yes No
7.1s Electrical Outlet Available: Yes No
Indicate Type of Work to be Performed before
Awning and/or. Pat'r Cover is installed:
----- .
- �r :-'.---7-------"7-- .__ �/h ' by whom Off Eave
'x""'--" 8.Patio to be installed: From Wall
Solid Accent Trim
CONTRACT AND AGREEMENT -
Within ninety days Of this date, SKIP'S AWNINGS hereinafter called the contractor
i agrees to furnish all labor and materials necessary to make the following improvements at
the above job site, in accordance with the following specifications. ,
If, after work is complete & terms of contract complied with by both parties, a de-
fect due to faulty labor or materials; Lia not due to ordinary wear b tear shall develop,
the contractor; upon reasonable notice within five years after job .is completed, repair the
same free of charge. This guarantee., does not cover, damages to decorations, interior, •
contents or occupants of the building, :nor injuries -to •the materials by unusual distur
bances of nature or by any human agency. SKIP',S AWNINGS
By 1, ,/,-16-c..1 Salesman
The property owner hereby agrees; . - 1 ,,� -
(1) That he will pay for such labor & materials, the sum of. . S .,i(./_ .).. , ,,
State sales' tax S . / Co , r 7
It is further agreed that the total amount TOTAL $ y '' /- 01
-- of. contract will be paid'.upon,.completion
unless so stated in this contract.` TERMS -6 f;P01://(7,475-1.--4-Y(
it is also Agreed Between The Parties hereto; this.agreement .i;s •subjec,t.-;to Thirty
days of the date hereof; that the contractor shall not be responsible for-damages or
:. delay due to strikes, fires, accident or�other causes beyond its control , THAT it A
iii MONTH WILL BE CHARGED ON�ACCOUNTSY°30'DAYS=FROM INVOICE DATE.
9.J.
PD. Dt. ,:Accepted by Date
C.R. Ck. Dep. Date completed
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