1994, 09-09 Permit App: 94008774 Carport PlacementPROJECT NUMBER= 94008774 APPLIaATI,�i`1
DATE= 09/09/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 923 N BOWMAN RD
ADDRESS= SPOKANE WA 99212
PERMIT USE= PLACEMENT OF CARPORT
PLAT#= 003014 PLAT NAME=
BLOCK= 3 LOT=
AREA= 00005040 F/A=
# OF BLDGS= 1 # DWELLINGS=
OWNER= MOORE, DAVID
STREET= 923 N BOWMAN RD
ADDRESS= SPOKANE WA 99212
PARCEL#= 35131.1189
1ST ADD TO EAST SPOKANE
14 ZONE= UR 7 DIST#= E
F WIDTH= 40 DEPTH= 126 R/W= 60
1 WATER DIST = SPO CO WATER DIST#3A
CONTACT NAME= DAVID MOORE
BUILDING SETBACKS: FRONT= EXIS LEFT= 13
PHONE=
PHONE NUMBER=
RIGHT= 15 ,REAR=
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQU
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
NEW= X
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
12 X 20 SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
CARPORT M-1 VN
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
ADDITION=
BLDG HGT= 9 STORIES=
240 SPRINKLER= N
CRITICAL MAT= N
CHANGE OF USE=
SQ FT VALUATION
240 1680.00
QUANTITY FEE AMOUNT
Y
Y
Y
39.00
4.50
7.02
PROJECT NUMBER= 94008774 APPLICATION DATE= 09/09/94 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 50.52 .00 50.52
50.52
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 50.52
******************************** THANK YOU ************************************
APPLICATION INFORMATION
LAP L91)
SITE ADDRESS..�� Parcel number 4,6.1r: �y
7
Legal description
Zone:::; _. «::. ?::;_::;;;:::;>>;<:::`:`i ;:
inspect or_district_:::::::;>' ::'
Pro size .. , ...
party
Right width_•;..:`::::
9 . Y:..
Water;district;_
OWNER Phone
AddressCity, state Zip
1J t1,27J en 00 itrA R'�>i7?a Xj/ 4/U1 tg/A f,.2 / 7 / ,T TIA/'.
APPLICANT Phone
Address City, state Zip
CONTACT Phone
PERMIT USE &4/?C ,0,0? -7-2. '
Building New ` Change of use
Add Remodel
Building height q
Stories
Contractor
Dimensions la, (J 2�
Total square footage
License
Main floor
Unfinished basement
Address
Second floor
Finished basement
Architect/Engineer
Garage
Decks, etc.
Value
Manufactured Home
Sign
Width:
Length:
Square footage
Height
Year:
Make:
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display —
VALUE
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Fuel Storage Tanks
(Circle one) Above -ground Underground
Swimming Pool
Contents
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
ADDRESS:
ZONE
•;4041(7) WIDTH:
PPONT e_y_ASFLANKING:
(MAANAF.:N
14F v:FwFD R
ecO
•
Pv#
Dept
VENDOR:
Vendor Cordact/Tel
FOB:
ACCTG. PERIOD:
CONJMENTS:
COMM LN#
DESCRIPTION
COMMODITY NO
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SES TO:
PO DATE:
DELIVERY DATE:
ENTERED BY -
REF ACCT LINE
- 923 .,1 ,,, ..rr;�
`0 f
confirming Order
BILL TO:
BLDG/ROOM:
WAREHOUSE:
QUANTITY j UNIT
Change Onia #
Bid ID
Blanlaet#
PURCHASING DIRECTOR'
UNIT PRICE
VI#
TOTAL PRICE
RECEIVING CERTIFICATION
Materials noted in quantity ! have been
received in good condition or contracted for.
SIGNED'
TITLE
DATE
PAYMENT CERTIFICATION
I, the undersigned do hereby certify under penalty of perjury that sufficient funds have been budgeted for this claim, the
materials have been furnished, services rendered or labor performed as described indicated
above, rein or co I�m ed[cted f o, thattthe aulaim isate
• just, due and unpaid obligation against Spokane County agency
and certify to said claim:
SIGNED \ TITLE
1 l
DATE
DEPARTMENT2
TRAVEL CERTIFICATION
I hereby certify under penalty of perjury that this
is a true and correct claim for necessary expenses
incurred by me and that no payment has been received
by me on account thereof.
SIGNED TITLE
DATE
PAGE -