1988, 07-21 Permit App: 88002076 Residence , r
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
.. W. 1303 BROADWAY AVENUE
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 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 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
PROJECT NUMBER= 88002076 DATE=E.::: :;j i'/.:..•{ /i:?!:t PAGE= 01
APPLICATION
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N"'1!:.p.,F3,i:..?:'.:'�'::...'};j'...::'.-:::(3!:::::::3':t'is Y::!t:ik.!::s�..;�..}:::::.�: i 1! !.....�.:f•1 I .{.i.l I',, E.'9:9.f..i...�,.:n'i!:J!:93'4i'9t'il•.ly..�{..��..}�.�*.}t}C'}k:!1':!k.0 3k:k1`:9!:','!:
SITE STREET= j , Th3 . 20TH : P ! .„. . r.
26542-3508
ADDRESS= ''f t.«I'4?' A:,{..E:.»::. .....E 99037
PERMIT :' .r .... SINGLE FAMILY RE: ID NCE
€ {._:;,T :::: 003935 ='i...AT• NAME:::: LEH:i: FIRST i{; T ADI :T:i:{:: N
AREA= 00000 000 r ;..i.... i.:1 ,.E. _s i i..i:::: Twi::.i:::'T'i..i:::: i!.,•W::.
it i_I F. B1...D 1.:.::c:::: 1 it :.!WELi_1.I`S E_Y:.i:::: 1
nWNFR= vOSTFLFCKY BUILDERE PHONE= 509 466 0813
STREET=
12024 N HEMLOCK -s I
il'!)D R i::.::3.::::.. SPOKANE WA 99218
CONTACT NAf'ti:..-..: JERRY PHONE NUMBER= ..i!-'t } 535 1026
BUILDING :::E.. {.:••I <,E : FRONT= 30 7 E:: ... 25 RIGHT=... ,..... REAR= 27
*::::. R,...,: p t 1
it.e!:1!::i!:.F!.,;!..ji,.�!:.it.}("}�'r:=e!:'}!:'1C'4i;-}(•}i;;!!;3F;:E{..}!:'l E'�!:ii:-}!:�}f•-}!:'-}!: E'i.1::.'1.l.1::.,tE .i.1•�I"x.11'',f'E(•i I .i.I,.f I'. i!:•fi 7!:9(•3!:is i{.r::P:.f*"k:')C.:rt..};.r:.}!.,_l,.:#(•}!;:t.:*.=F.* !:*
DATE
DEPARTMENT NAME Is... 4'.{. ::.W COMMENTS IN/OUT I ..NII 1.ALGl
BUILDING
•,
& SAFETY PLAN E'•. ";::.`a'._I::.;.i REQUIRED ... .:i':' f...?.'! 1 i"j S
......... 7:2S7
COUNTY ::.i''•�i:r.i.i'•I 1...!...t, NEW L;.:. i....:{_� ' ! `f ROAD APPROACH 880721 ONE
arrt--1/-1'-rit 4F-'' P/t)4-.2-49-e 7/2 411 .11//
ENVIRONMENTAL "i •{ i =iW OR ADDITIONAL WA: I i ! - ..i . 880721 ._!�`€
PO.1d......Parr-
'ff ............................_......................
lee
.jt;74:•p;•*)!:$k... *.it:•P:U;•A:'h:':i!:1!::!!:.1': :a:....} lk•:k)!:1!:1!:..* :u u.t t 'i::I N€.. I.,F.'..',m.i...{. **N**************************;!;j!;'}!;•}!;•p;•k••}(•}t;*•}f)!:*'*'?!:•}!:k•3!**•}!:*lk•}i**
CONTRACTOR= t.I S !E: t :c E , PHONE= 509 !.)ft:>6 0813
STREET= 1 ! ! N LINCOLN RD
ADDRESS= SPOKANE WA 99208
:; ,iii"F't'! .... .. ! E... t..,. ;...
NEW= f i::i! .:,!i:::i....... r 1?zi:i:'T :t:?i' :::. CHANGE
,..Er, 1-YE::. :i . :';:.::-
DWELL UNITE=
.:r"• 1 Ili:'! ! ;}::.. !:�l..Di.: FIG ! " �.i .i'i ,.
1'-.....•., , E••i R'+..i.lk!.:::-• .u.!..!..!1'•,.!.:s. f•1!'::•• :.>I::.iii i::.r4.... f': HYDRANT= t:
PROCESSED BY : ... .,u F'., •.i.::.
PRIMED BY : sILvA, DAVID
1 : !* i*1 } ia „ kif} } .. r: y .. .... s {. i. : : THANK % ?_ a * { { : { f i: a } j} *} a } t: : : i} t : Fd < tjAA
I
INFORMATION WORKSHEET
PARCEL NUMBER: ' 3 Ti(
STREET ADDRESS: ( 'i S ILO 0
CITY/STATE/ZIP- s°. �� ��. �., �� . .;7
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
�,.,
LOT AREA: F/A: WIDTH: , DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: �f r \cOS PHONE: - - /3
MAILING ADDRESS: N. ) - '`
CITY/STATE/ZIP:
CONTACT: PHONE: - 535— - /o%Jo
SETBACKS: - FRONT: LEFT: RIGHT: REAR: 7
PERMIT USE:
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: . V,' CL PHONE: - -
MAILING ADDRESS: }`'40�-`'� )4'6;►M
ARCHITECT/ENGINEER: v.)/ P 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) : IJ HYDRANT:
I 128 I-{F
540C UFP
/co rECk--
Cede
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
***************************************************************************
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:
***************************************************************************
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 I SHOWERS I
GAS HTG EQUIP(100,000)BTU I 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
JI_IL-28—'88 88:48 I D:HEALTH SPO TEL NO:5E19-45B-4716 #$31 ?Ell ...I ,.,,,�,_„.,,
JUL-26-'89 el9133 ID:HEALTH SPO TEL P31309-456-4'716 #B2 Pia. .',":; N
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