1995, 05-25 Permit App: 95003624 ResidencePROJECT NUMBER= 95003624 APPLICATIO4
****** THIS IS NOT A PERMIT
DATE= 05/25/95 PAGE= 01
******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 16404 "BROAD AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= NEW RESIDENCE/GARAGE - GAS
PARCEL#= 46363.9074PTN
PLAT#= 005709 PLAT NAME= CHINOOK NO. 3 (CHINOOK ESTATES
BLOCK= 9 LOT= 5 ZONE= UR -3.5 DIST#= H
AREA= 00010258 F/A= F WIDTH= 85 DEPTH= 107 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= KINNEY MATTESON INC
STREET= P.O. BOX 14440 AVE
ADDRESS= SPOKANE WA 99214
CONTACT NAME= JOHN BUNDY
PHONE= 509 924 4457
PHONE NUMBER= 509 993 3128
BUILDING SETBACKS: FRONT= 30 LEFT= 23 RIGHT= 22 REAR= 52
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING REVIEW COORDINATOR - D DOMPIER
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
APPROACH/FLOOD PLAIN/DRAINAGE
Compliance with drainage
conditions filed under a
separate covenant required.
HEALTHDIST NEW OR ADDITIONAL WASTE WATER /44_6 { rs'---7J(..A.J
COMMENTS:
d I( Ed.PJ, I n• �r f
******************************* BUILDING PERMIT *******************************
CONTRACTOR= KINNEY MATTESON CORP
STREET= 16500 E WELLESLEY AVE
ADDRESS= SPOKANE WA 99214
PHONE= 509 924 4457
NEW= X
REMODEL=
AT+)DITION= CHANGE OF USE=
PROJECT NUMBER= 95003624 APPLICATION DATE= 05/25/95 PAGE= 02
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 25 STORIES= 1
BLDG W X D = 38 X 42 SQ FT= 1172 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE M-1 VN 400 4800.00
RESIDENCE R-3 VN 360 20880.00
2ND FLOOR R-3 VN 1172 64460.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 599.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 107.82
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= D & G HEATING
STREET= 12417 SE 10TH DR
ADDRESS= EVERETT WA 98208
ITEM DESCRIPTION
PHONE= 206 337 0820
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
RANGE 1 10.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2.00
VENTILATING FANS 5 50.00
HOOD -TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= DAVIS BROTHERS PLUMBING
STREET= P 0 BOX 931
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION
PHONE= 509 927 4186
QUANTITY FEE AMOUNT
TOILETS/BIDETS 3 18.00
TUBS 3 18.00
SINKS 4 24.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
GARBAGE DISPOSAL 1 6.00
WATER USING DEVICES 3 18.00
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
711.32
104.00
.00
.00
711.32
104.00
PROJECT NUMBER= 95003624 APPLICATION
PERMIT TYPE
DATE= 05/25/95 PAGE= 03
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 96.00 .00 96.00
911.32
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 911.32
******************************** THANK you ************************************
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