1988, 10-28 Permit App 88003486 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
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 agreeto comply with same. All provisions of laws
and ordlnancea goveming 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'RCL.IE:C'rNUMS3E::E?::= £:3804):481.1
Dr^STI:_=- 10 2G/£3£i3 I''AGE:: = 01
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ADDRESS= S'I'Oi<ANI:_ WA 992.'.'16
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004150 1:1 A T i'dAhSl::::: .3ANSl.:1Pi Ei'ii> r
BLOCK= 2000 LO'T'= 3000 ZONE _=: SF'Ft X):l: "r';: F
ARF.:.A 1-/A::= F W1DT1--l:::: 12730 DE. 'TFI:::: 130 R/W= 50
v U1 I3L.I7(:,5= 1 S:;i„EL.I_IN[:S' i
ADDRESS::::: SPOKANE[ WA 9921 v:
CONTACT i4AVIE::::: WIii:S CROSBY
Itl.l:[L..T7:I:N( ::: "I BO CKS : FRON'I = ::30 LET
I''IIONI 509 926 523c'
PHONE: NUMBI R=:: :509 926 5229
TATE
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I (.1.1.1._D'INC. & EAF E_ f Y PI -AN R .W[E W E. L: ( (J .I.L:1:=r3 8£31 ()<IEl 11116!
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INFORMATION WORKSHEET
N.--.
PARCEL NUMBER: //Z:l
STREET ADDRESS:
M
CITY/STATE/ZIP: A- 0197-/(.w
SUBDIVISION: CEA -61 �r_ 'S
BLOCK: LOT:_ ZONE: JP/ DISTRICT:
LOT AREA: F/A: WIDTH: /6 7lEPTH: yD,7aR/W:
# OF BUILDINGS:_ # OF DWELLINGS: WATER DISTRICT: -f-tffJc J
OWNER--(-, 14 b //y4 PHONE: - -,
MAILING ADDRESS: 8 /1 &{Y / 3 21 -Z
CITY/STATE/ZIP: ���-��k 997./3
CONTACT: t/tA" PHONE: ASM- 16- S2
SETBACKS: - FRONT:_ ?h LEFT: RIGHT: REAR:" l"
PERMIT USE:
xxxxxxxxxxxzxxxxxxxxxxxxxxzxxxxxxx:xxxxxxzzxxx:xxxxxxxzxxxxxxxxxxxxzzxxxzxxzx:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: C#D , uy�* /f& (-C
CONTRACTOR: Ctrl, //'G PHONE:
MAILING ADDRESS: 00'. j�p :s
ARCHITECT/ENGINEER:
PHONE: - -
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS:: OCCUPANT LOAD: BUILDING HGT: STORIES:_
BUILDING DIMENSIONS: 430"Z- X _6 (WIDTH -X DEPTH) SQ- FT.: Ji:: Z
REQUIRED PARKING: # HANDICAP: SEWER (Ye!�) HYDRANT:
/ t 2 Wr:- lli�C 044
/0&(o CiFB
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
xxxxxxxxx:xxx:xx::xxxxxxx:xx:xxxx:xxx:xxx*xxxxx***xxxxx*xxxxx*xxxxxxxxxxxxx
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS:_ OIL:_ COAL:
ENERGY CODE: WSEC: NWEC:
WOOD:_ SOLAR.:— HEAT PUMP
UTILITY: W (-t)P SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
xxxxxxxxxxxx*xx****x**xx*xx**xxxxxxxxxxxxx*xx***x*xxx***xxxxxxxxxxxxx*xxxxx
MECHANICAL FEES
ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO
DUCTWORK SYSTEM dOT
WOODSTOVE/INSER(� v
GAS WATER HEATE
GAS HTG EQUIP(100,000)BTU
GAS HTG EQUIP +100,000
GAS PIPING — N OF UNITS
HEATPUMP 1-100 BTU
HEATPUMP 101-500 BTU _T
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
FLOOR DRAINS
FLOOR SINKS
BAR SINKS
ROOF DRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URINAL
DRINKING FOUNTAIN
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