1988, 12-05 Permit App 88003886 ResidenceI
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! nformation 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 some. 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
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INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: 13-716
7r?J7 2
CITY/STATE/ZIP:
SUBDIVISION: j 01,1-s jzr/)50
BLOCK: 2-
# OF BUILDINGS:
OWNER--. (: /,) i nI c
LOT:_ ZONE:A/-7L DISTRICT•
F/A: WIDTH: DEPTH: R/W:
# OF DWELLINGS:
MAILING ADDRESS Y L) : Z Lfx / 3 7/
CITY/STATE/ZIP:
CONTACT:
SETBACKS: - FRONT: LEFT:
19Dl*ll wwltljwm
WATER DISTRICT: TGyo 0
PHONE: SOri - - S--2--2-2
PHONE: -SV� - 9 -2(. -
RIGHT: % kEAR• S'S
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: �4/ 4'i �7/(p J# 4!Z 6 LL
CONTRACTOR • (_ H c PEKNE: �a y _--2-,?L-
MAILING
jZ( -MAILING ADDRESS: / 3 7 /7 7,1a,v.t `, S , / j
ARCHITECT/ENGINEER: �T - _� PHONE: -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: --L— OCCUPANT LOAD: BUILDING HGT: STORIES:2_
BUILDING DIMENSIONS: X
REQUI PARKING: # HANDICAP:
loop /l2 .jjscK
(WIDTH X DEPTH) SQ. FT.: �
SEWER (Y/N): HYDRANT
Revised 1/88
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CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
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CONTRACTOR LIC#:
NOR V*1�:1(4 011144
MAILING ADDRESS:
ELECTRIC GAS:—OIL:
ENERGY CODE: WSEC:
MECHANICAL INFORMATION
CCAL: WOOD: SOLAR: HEAT PUMP
NWEC: UTILITY:
SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
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MECHANICAL FEES
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ITEM DESCRIPTION "-" ER OF
PROCESSING FEE fid' YES OR NO
DUCTWORK SYSTEM
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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
PLUMBING FEES
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISHWASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
UTILITY SINKS
ELECTRIC WATER HEATERS f
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
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AP '- OVI') AS NOTED
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DEC -06-'86 10:35 ID:HEOLTH SPO
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TEL h,0:509-456-4716�1I
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TYPE OF SEWAGE SYSTCK
LINEAL OR $$QUARE FOOTAGE.
TRENCH W!(ITH,
DEPTH FROM ORIGIN L GROUN
OF SEWAGE $YSTL1y, ,v
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#379 P01
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JAN -20-189 10:04 ID:HEALTH SPO
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TEL NO:509-456-4716 #478 P01
SPECIFI ONS
TYPE OF SEWAGE SYSTEM,
LINEAL OR SQUARE FOOIAGE:�j ��--
TRENCH WIDTH:
DEPTH FROM ORIGINAL GROUND S RFACE TO BOTTOM
OF SEWAGE $YSTCM:
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