1996, 08-12 Permit App: 96006484 Additional
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number'?
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Inspector district
Property size
Right of way width
Water district:._ .::.
Building
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Building height
# of stories
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Contractor
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Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
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2nd floor area
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Finished basement area
Architect/Engineer
Garage area
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Size of decks, etc.
Whet is the heat source?
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What is the cost of your project?
Manufactured Home:.:
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
We State Contractor license #
We State Contractor license # -
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinlder Tent
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Paint booth Fire Alarm Fireworks display
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VALUE
Contractor
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Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel StocageTanks --:
Swimming Pool::.
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address -
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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PROJECT NUMBER= 96006484
APPLICATION
****** THIS IS NOT A PERMIT
DATE= 08/12/96 PAGE= 01
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2302 S BLAKE RD PARCEL#= 45271.2504
ADDRESS= SPOKANE WA 99216
PERMIT USE= RES ADD - GREAT ROOM, LAUNDRY, & DECK
PLAT#= 001224 PLAT NAME= HILLCREST ACRES 3RD ADD
BLOCK= 1 LOT= 4 ZONE= UR -3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 95 DEPTH= 136 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= CAMDEN, WILLIAM 0 & JUDITH R
STREET= 2302 S BLAKE RD
ADDRESS= SPOKANE WA 99216
PHONE= 509 924 2870
CONTACT NAME= WILLIAM OR JUDITH CAMDEN PHONE NUMBER= 509 924 2870
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= 66
****************************** REVIEW INFORMATION *****x***********************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 08/12/96
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 08/12/96
******************************* BUILDING PERMIT ******************x************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 14 X 32 SQ FT= 412 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
DECK R-3 VN 144 1008.00
RES ADD R-3 VN 412 24308.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 309.75
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 68.15
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PROJECT NUMBER= 96006484 APPLICATION , DATE= 08/12/96 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
CLOTHES, DRYER
VENTILATING FANS
QUANTITY FEE AMOUNT
1
2
10.00
20.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR='OWNER PHONE=
ITEM DESCRIPTION
CLOTHES WASHER
PERMIT TYPE
QUANTITY FEE AMOUNT
1 6.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 382.40 .00 382.40
MECHANICAL PRMT 30.00 .00 30.00
PLUMBING PERMIT 6.00 .00 6.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
418.40 .00
418.40
******************************** THANK YOU ************************************
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