1987, 06-15 Permit App: 87001780 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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
i_3 !,! ? !::. :... i:•t 5.. ii ..i Ir '... !"!
.....,.., ...,..: ...::. '•:.::: '.::::: i.: i. ac :,i.:.i.: i.: i.: •........ 1... i. J. R P:..:.....
:'i' ;,,: ;3F :�l,- ;,,: �f..1F 1,. ::'S p, }!, ,1, !! 4 j., !.. :•. :-. )., 1, j3 ;!,.:jl: .3l; :i;.
X. ;li• _{j• :ii-jE: i -ti C I !... i. i...• I"� + .!. t,) i•'J Al'}F' �,: 'j,: .�: :i[• :1!- :!i• :il:ti: :il::li..i{. ;iF.:Fi. :R. :ii. :;j. :ij.: j. :;i. ' :;(. :,r..{;.
... , ... ry .� ' .._ ' i ,... .., p .r., ,, 3...
f••� �«} 1«11"-. #". ,=� .*• .... `t' I::. ! t'•j j 1 i••! !. ;.. (hi j..! '• , !:1 . ". r
... ... ., .i .. ,a 7 F ..
#'t. #::. a] .!. S.1 !::. 3? S—: !::. #ri!I..Y !"! F�: t..7 ?.Y
... ..3i. .... .. .. ..y i.. -..v .:.. ..
1«'!...t"iT ;'.::t •.a :'i ! I...fa I t':!,:!'i!::::: !;fi MA t'!:Cj1?.!.
f•-!!�: !... !.., ..:: .: •_i C4 .: ,.1 t:i=•:r+:} }•• r f.: �;-.!. .. I i•"i ::: i,.
:' ....
•* („ I !- Iii_ iii, 1 1 L 1N
,: i
txit':, ,•:;.
.. .
�::� t.} .!. !...1.) .!: r,! i � ,. is 1 �:' ;��! i:: ! ;:•; : != !��; (:) t,! -; � :::: :: {; t:? !... �:: �� ..�.:
--_ j !�_° :!: is }..! ..L :... ,''. rj !": !::: i••'S !�;,
.....-.... t.. ;,......
8i..}: • : d,- -SG . K. a;. j. �:...ti. 8f..jt..ji. _;i.:1;. �. 3;i'i4..j;, ,n. K. iui 'iE:"i,,• .j} ?;f, .;;..t(..J. i.,+,.. �? ,_ #.a '•� #•• i i e'. " ••: i i i "J cnr •j( -S!; •p; •jf 7tr •it h: i :u: A. i.. cu:. :1F p::ur rji• •iE: •i': it3i X. A. itt k• tlti i3t:
1. i is:. t ,
11!:::!::'f`ii.' T't'rii ia'}' i,tt::,Nil:: e':I: �' :.!::.:,.i l..ti'_tf s i..
.... .... .... ... ................. .... .... ....... ....... .-..........................«................................. ........................ ...............................
L..:i j *1.* i'4 is ?. (�! !:::.,...r !:: '�`' :C !::: t.# ! ; !::: t ? t.t :!: f M fit#
Y�
( ( .......:
i,.l # :i !.. ., F'..i {.. i,.# ! .i !# ,!.k ! 't•:i ', ;;. j.. I—'!•� !•j" .. vi'i !::1
. ... . .. .... X7. ........... _./...s
...........................................«..........................................................«............. .........
!
i�f''+'ah:tas•!i''i!:i?..ire... !-!i:::t'�!._.'I.!..#
f:ttr'!
! .
.r '.'i 3 i••e i'i i'3
,�-0 ......... .... .... .... .._.... .... .... ....
`
..app rzDyed..................................................................... ce. 1i P*_:1�
.t( _. t[ A. 'ti 'u 3, ,i !i ',i ti ll' N
•jti ;,i: •j!. •ji• :u; )¢ di: iui iiti it+i ai::u: 1{" J3i •ii• itj• •it: •hr •ii: ;n• ;a; •j{• ;n: •7i: �:; #.. � 1. !... 1 � .!. i''•! i_Y #' ' #::. i'{ i`' a. # '1i: inr i4: �pi :k{• iui �i(• "i •Pi 'Pi •JE "A: A. "ik .j;.:;;. r : •1::: "li� :::: i : { ::::: c :::
l,:4.i1''1 }?.i.i(•'. # t.i!`_ #.=.i!".•' c+" F!,•,.::?..!t..•.I.!i # I:.,
1, A 9'i' «' 4
1)W1:::i...i.. #..ii'?:!" ;:::::: s 0i::,i'.t.#1'1.. I.
.
j ;! "' T 4 C :::: NPI I'•+
: #-# !: 1.) .i. f_•
Iii::.::, i f:!!:# .,.
t --I I:i :t) :!: '•i'10, N ::::
• Y
xxxx*xxxxxxxxxxx*xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxyrxxxxxxxxxxxxxxxxxxxxxxxxxxxx
* INFORMATION WORKSHEET
xxxxxxxxxxxxxxxx***x**x**x*******xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxitxx
*
PARCEL NUMBER:
x
*
STREET ADDRESS:
x
*
*
CITY/STATE/ZIP:
�� l��/L�/7siC� r DC//�i€l� �QC/3 %
*
*
SUBDIVISION:3��
*
*
*
BLOCK:
/ LOT: ZONE: DISTRICT:
*
*
LOT AREA:
F/A: WIDTH: DEPTH:
R/W:�`O
*
*
# OF BUILDINGS:
# OF DWELLINGS:� WATER DISTRICT:
x
*
*
OWNER: %,(/" - 14 y
fi's S cc- • . PHONE:
*
*
MAILING ADDRESS:
x
*
*
CITY/STATE/ZIP:2�/'
*
*
*
CONTACT :%��-a
PHONE:
-_r,,2- 7 fiL
x
*
*
SETBACKS: - FRONT: LEFT: % RIGHT: REAR:
x
x
*
PERMIT USE:
x
*
xxxxxx-xxxxxxxxxxxxx-xxxxxxx*x*x-*x*xx-******x-*x-**x*******xxxxxxxxxxxxxxxxxxxxx*srx
*
BUILDING INFORMATION
x
*
*
CONTRACTOR LICENSE NUMBER:
x
x
*
CONTRACTOR:
PHONE:L-
x
*
*
MAILING ADDRESS:
*
ARCHITECT/ENGINEER:
PHONE:
- -
x
*
*
MAILING ADDRESS:
*
*
*
NEW: REMODEL: ADDITION: CHANGE OF
USE:
*
*
*
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:
STORIES:
*
BUILDING DIMENSIONS:
X (WIDTH X DEPTH)
SQ. FT.:
x
*
*
REQUIRED PARKING:
# HANDICAP: SEWER (Y/N):
HYDRANT:
*********************x********************************xxxx*xx*********xxx*****
------ JLIN-18-'87 13:59 '-,:HEALTH SPO TEL NO: 509-456-4716 #331 P01 --°"
JUN -175-'e7 10! y�Y u i't`L` i Y�' gad=a'r�U #,� fi� _
L,PT G, Lk 1��►� p,
NWOLE PLUM INOx,3034 BORIS
. IgE A 4�VC PIPE ASTM
OR WIA V799 %iPMo
c+µ ave
C'j.
ia� ^ t
# CeN TRAC TCR :--------------------------------------- PFCNE =---- ---- _
L �
• NAILING ACCFESS= — — — — ——
----------- —
L
Y** lev*XitX XX Y t X Y*4 %**,+**X tv *t*t 040* Ott**zit * *t44*Oto#o # tOX spCY
# ',+ECFANICAL INFCRMATIGN
CON IR LICA x
CON TRACTCR=---------------------------------------- Fr CNE----- °
Y --- —
VIA tLINC ACCRESS------------------------------------------------ -- ;
a r
YY�tYtt LttatL Y YY YLY Y YL sL�CtLtstt apt#CV4 #L##t�CY�t Y=sc* LYY YY YL Y L Y Y t COL Y tY i YX- i o
****** Mkt****** ***0 ****w******+kph*Mt*** M*4*#a4 *****aa*�a�k
MECHANICAL FEES PLUMBING FEES
I IE -m OESCRIPTIGN
PROCESSING FEE
DUCTWORK SYSTEM
NOCCSTCVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP<10C.000>3TU
GAS hTG EQUIPf100.000 BTU
GAS PIPING - # OF UNITS
HEATPUNP 1-100M eTU
HEA TPUNP 101-500r BTI;
HEATPUMP 501-1,COOM BTU
HEATPUrP 1,001-1750M BTU
H`ATPUNP fl,750M BTU
REFRIG 1 -loom BTU
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
REFRIG 1,001-1,750M BTU
REf-R Ii, . +1,750M BTI;
AIR CONDITIONER 0-3 VP
AIR CCNCITICNER 3-15 hP
AIR CCNDITICNER 15-3C HP
AIP. CCNC-ITICI\ER 30-50 HP
AIR CONDI TI-GNER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTt-ES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-I0GOG CFH
AIR HANOLER 10000♦ CFM
NUMBER CF
ITEM DESCRIPTION
NUMBER OF
YES OR NG
PROCESSING FEE
YES OR NC
TOILETS
SINKS
SHOWERS
t
BATF TUBS
_
KITCHEN SINKS
_
DISH WASHERS
GARBAGE DISPCSAL
_ —
CLOTHES irASHER
UTILITY SINKS
ELECTRIC LATER HEATERS
_
FLOOR DRAINS
_
FLOCR SINKS
_
BAR -SINKS
ROOF CRAINS
LAWN SPRINKLER
_
_ —
SEWAGE EJ -EC TGR
_
_
WATER SOFTENER
URNAL
DRINKING FOUNTIAN