1989, 05-04 Permit App 87001730 Pool******************************************************************************
* INFORMATION WORKSHEET
******************************************************************************
/ 1
* PARCEL NUMBER: 32���/ - I
* STREET ADDRESS: E /®`L'/ /fir, �l�✓
*
* CITY/STATE/ZIP: S2.4 / GJ.,.. ,
* SUBDIVISION:
*
* BLOCK: LOT: ZONE: DISTRICT:
*
* LOT AREA: F/A: WIDTH:
*
* # OF BUILDINGS: # OF DWELLINGS:
* 1,441...(ut )(
* OWNER: tv : lu-
*
• MAILING ADDRESS: Es. J02rr
CITY/STATE/ZIP:
*
* CONTACT: 61..;.
*
IC es_
DEPTH: R/W:
WATER DISTRICT:
PHONE: - G/"Lg - '8/o(c,9
PHONE:
* SETBACKS: - FRONT: LEFT: RIGHT: REAR:
* PERMIT USE: SYVN T —0
*
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* BUILDING INFORMATION *
* i4RT - PT *
* CONTRACTOR LICENSE NUMBER:. *
* CONTRACTOR: - ,Prwr ; ...I v Is 1�-�1 G PHONE:143.9 - .S`C^� %y *
* MAILING ADDRESS: !U • S- ( 3-0 iLe,y_� *
* (11 *
* ARCHITECT/ENGINEER: A. A $ 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: *
******************************************************************************
* CONTR LIC+t:
*
* CONTRACTOR: PHCNE:____—_
* MAILING ACCRESS:
* PREVICLS ADDRESS:
%`
*
* LOCATION: PARCEL NLNEEP.:__________ _____________________ t t
* n
* STREET:
* t
* CITY/STATE/ZIP:
* MAKE: NCDEL:
t
#
* SEPIALk: LIOTH:—__— LENGIF:__—_ _
*
* RELCCATICN INFCRNATICN *
* CONTP LICA: r
*
* CONTRACTOR: FFCNE:___ _—_ ____ *
* *
*
* ,MAILING AJCRESS: -----
*
t
* PREVICOS ALOPESS:
*
* LCCATICN:____ PARCEL NUMBER:
*
* SIREET:
*
* CITY/STATE/ZJP:
*
SIGN LNFCRNATICN °
*
* CONTR LICA:
* * CONTRACTOR: FbCNE:____ —__ 4
*
*
* MAILING ADDRESS: *
*
* SCUARE FOOTAGE: _ POLE FEIGH1:_____— *
* 4
4
*********s*********************************#**********************************
* OEMCLIIICN INfCFNATICj *
*
* CONTR LICH: *
* _ *
* CONTRACTOR: FHCNE:_—
*
* MALLING ADDRESS:_— *
* *
* BUILCING SCGARE fOCTACE:
*
*
*
*
NUMBER GF BUILCINGS:
SPOKANE cOUNCT HEALTH DISTRICT
ENVIRON! ENTAL HEALTH DIVISION
FINAL INSPECTION FOR SEWAGE SYSTEf1 AT
(numerical address or lot and block in plat or section, todnship, and range and road)
Please fill out in heavy dark line (felt-tip pen or equal) with a straight edge. Plan
is to include outline of structure (i,f available) as its position occurs on the prop-
erty. Identify by measurement actual location of septic tank, drainfield lines,
drywell, or other on -site sewage facilities, property lines closest to drainfield,
on -site well (when applicable), driveway, and road frontage. Septic tank access
must be referenced to a known fixed surface structure.
r.urb
APPL.# �CS
NORTH
t
3/
FINAL INSPECTION MADE BY
COMMENTS:
/7
Sip/--1errd
59
� I
40 I 156
131
`c4ft<,(,te
tr-
(4;-Jle i
et. --
(INSPECTOR'S NAME) (DATE)
1/83
CONTR LIC#:
CONTRACTCR:
4
Y MAILING ACCFESS: --
4 4 4 f t 4 4 4 4 4 4 4 4 4 4 f Y t 4 4 4 4 4 1# f t 4 4 4 4 t 4 4 4 4 4 t t 1 4 t 4 t 4 4# t 4 4 1 4 t 4 4 4 4 f 4 4 t 4 t t 4 t t t r- a 4 1 4 4 4# 4 4
4 MECFANICAL INFORMATION
4 COMB LIC#:
a
4 CONNTKACTCR: FFCNE:
4
a MAILINQ ACCFESS=
c
4 ELECTRIC:__ CAS:___ CIL:___ CCAL:_ hCGD:SCLAR:___ FEfl
t
4
4 4 4 4 4 4 4 t t 4 t 4 4 4 4 t 4 4 4 4 4 4 4 4 4 t t t a t t t 4 t 4 t a 4 t t 4 4# 4 t t 4 t t 4 4 4 4 4 f 4 4 4 4 4 4 4 4 t 4 t 4 t 4 t 4 4 4 f 4 4
PFCNE: —
####1##******************************##►###******Y:aa444a11t1****** s*
MECHANICAL FEES
ITEM DESCRIPTION
PROCESSING FEE
DUCTWORK SYSTEM
HOCCSTCVE/INSERT
GAS WATER HEATER
GAS RIG EQUIPC10C,000>BTU
GAS hTG EQUIP+100,000 BTU
GAS PIPING — k OF UNITS
HEATPUMP 1-100M ETU
HEATPUMP 101-5001' BTU
HEATPUMP 501-1,000M BTU
HEATPUMP 1,001-1750M BTU
HEATPUMP +1,750M BTU
REFRIG 1-100M BTU
REFRIG 101-5008 BTU
REFRIG 501-1,000M BTU
REFRIG 1.001-1,750M BTU•
REFRIG +1,750M BTG
AIR CONDITIONER 0-3 HP
AIR CONDITICNER 3-15 hP
AIR CCNDITICNER 15-3C HP
AIR CCNC.ITICNER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTFES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-1000C CFH
AIR HANDLER 10000+ CFM
NUMBER CF
YES OR NG
PLUMBING FEES
ITEM DESCRIPTION
PROCESSING FEE
TOILETS.
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE OISPCSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC LATER HEATERS
FLOOR DRAINS
FLOOR SINKS
BAR -SINKS
ROOF CRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
NUMBER OF
YES OR NG
fl
4
1
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