1989, 06-12 Permit App 89001706 MHSPOKANE 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 agreeto 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
'fiY...R .... C,; E...R r..IE..E
T Ar•T 'A.:;t::•= C:1WNE:R
BUILDING r _ ! 1 : ` � -O i 1 _
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DEPARTMENT
( COUNTY ENGINEER
'..NVIRONMENTAL HEALTH
REVIEW COMMENTS
NEW COUNTY ROAD
0Pi- 3
jr ._ IiI'_i._NACR=:., ,
DI:i.r. ,....
PHONE.. 509 92? 495
RIGHT:::: l`:::: 5 REAR:::: NA
REVIEW INFORMATION a{.3i' ii":*.:.. •hi....*a' .:.•....:I.. .....:I,...a:.
DATE
IN/OUT INTTIAL
APPROACH :' 6
NEW R ADDITIONAL WAETE WATER 8901
O. ti O4 -4
CE.. / .3-8 ..........
JEF
007 94W--
SPECIFICATIONS
E OF SEWAGE SYSTEM: j4,..41e
;'NEAL OR SQUARE FOOTAGE 2-ATV
TRENCH WIDTH: 3_4 "
DEPTH FROM OR:INAL GROUND SURFACE TO BOTTOM
OF SEWAGE
SYSTEM: Z`1 —36 " tiWyr
OTHER: t/l,L.;,,i .;,-) (o' t On'�`'A%
r
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SIGNATURE. `277/'//f 7 DATE:/Zy I1&if
IF YOU CANNOT INSTALL THIS SYSTEM ACCORDING
TO THIS APPROVED PLAN, YOU }AUST CALL THE OFFICE
AT (509) 456-6040 PRIOR TO INSTALLATION.
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Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
INFORMATION WORKSHEET
Tc5 (q-7.7z
1-10.b( oz 4us
J G/ - c-'C Lip- GFC-�/.t j V 4r-S 7V /
SUBDIVISION: -c, ; - 4c:='/
BLOCK: (c LOT: /P SONE: DISTRICT:
;LOT AREA:730 %b F/A: . WIDTH: r 5 /
7_.� DEPTH: lR W:
# OF BUILDINGS: 6. # OF DWELLINGS:
OWNER: $ coTf
MAILING ADDRESS: / (7 (Z
CITY/STATE/ZIP:
CONTACT:
WATER DISTRICT:
PHONE: 5-6 r - 92%- (`-
c
ajP4—air.
Sc.. c T 7 PHONE: -
SETBACKS: - FRONT: LEFT:
PERMIT USE:
RIGHT:
REAR:
**************************************************************************.**
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL:
PHONE:
ADDITION:
DWELL UNITS: OCCUPANT LOAD:
CHANGE OF USE:
BUILDING HGT:
STORIES:
BUILDING DIMENSIONS: X
REQUIRED PARKING: # HANDICAP:
(WIDTH X DEPTH) SQ. FT.:
SEWER (Y/N):
HYDRANT:
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
******************************,tiel**********************************+:*** ****
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAB: OIL: CCAL: WOOD: SOLAR: HEAT.. PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH: • PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTW9RX SYSTEM-
WOODSTOVE/INSERT
GAS WATER HEATER
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING — # OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU
HEATPUMP 501-1000 BTU
-HEATPUMP 1001-1750 BTU
HEATPUMP +1751 BTU
REFRIG 1-100 BTU
REFRIG 101-500 BTU
REFRIG 501-100 BTU
REFRIG 101-1750 BTU
REFRIG +1750 BTU
AIR CONDITIONER 0-3 HP
AIR CONDITIONER 3-15 HP
AIR CONDITIONER 15-30 HP
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
NUMBER OF
YES OR NO
PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
.SINKS._
SHOWERS
.BATH TUBS
KITCHEN SINKS
DISHWASHERS_
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS_
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
NUMBER•OF
YES OR'NO