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1996, 03-18 Permit App: 96001454 ReroofPROJECT NUMBER= 96001454 ****** APPLICATION THIS IS NOT A PERMIT DATE= 03/18/96 PAGE= 01 PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 11611 E BOONE AVE PARCEL#= 45161.0633 ADDRESS= SPOKANE WA 99206 PERMIT USE= RE ROOF RESIDENCE PLAT#= 001852 BLOCK= 33 AREA= # OF BLDGS= 1 PLAT NAME= OPPORTUNITY(TR. 1-142INC.143-35 LOT= 33 ZONE= AGSUB DIST#= F F/A= F WIDTH= 105 DEPTH= 300 R/W= 60 # DWELLINGS= 1 WATER DIST = OWNER= CROSS, K. A. STREET= 11611 E BOONE AVE ADDRESS= SPOKANE WA 99206 PHONE= CONTACT NAME= HENDERSON ROOFING INC. PHONE NUMBER= 509 928 7254 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA ******************************* BUILDING PERMIT ******************************* CONTRACTOR= STREET= ADDRESS= NEW= DWELL UNITS= BLDG W X D = REQ PARKING= HENDERSON ROOFING INC 1003 S PINES SPOKANE WA 99206 REMODEL= X 1 OCCUP. LD= X SQ FT= #HANDICAP= PHONE= 509 928 7254 ADDITION= CHANGE OF USE= BLDG HGT= STORIES= SPRINKLER= N CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION RE ROOF R-3 VN 7280.00 ITEM DESCRIPTION RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE PERMIT TYPE FEE AMOUNT BUILDING PERMIT 149.07 149.07 PROCESSED BY: JOHN LARSON PRINTED BY: JOHN LARSON QUANTITY FEE AMOUNT Y Y Y 118.50 4.50 26.07 AMOUNT PAID AMOUNT OWING .00 149.07 .00 149.07 ******************************** THANK YOU ************************************ d w Y Q d 0 APPLIeATIDN INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? /`67/ f ^ 4/5'l/ /. ©& Legal description as it appears on the property deed OWNER or OCQUPANT vo 3S' Phone Mailing address - //6/ / /9r as -4e Who should we contact regarding this project? City, state Zip Phone What work is being done under this permit? Contractor 411 ileb:SM.,-, „/.,Jc%. Building height Dimensions # of stories TOTAL SQUARE FOOTAGE WA State Contractor -license # Mailing ad /o 7 a /5- E S%v 3 G°'he.0 Main floor area Unfinished basement area 2nd floor area Finished basement area Architect/Engineer 92f - 7asy Garage area Size of decks, etc. What is the heat source? WAWD<CIe 6 ? a.s,c 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 Wa State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler _ Tent Paint booth _ Fire Alarm _ Fireworks display _ VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Fuel Storage Tanks Swimming, Pool (Circle one) Above -ground Underground Contents of tank(s) Size / gallons Size / gallons Private 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. d N Q d