1993, 12-15 Permit App: 93011963 RemodelPROJECT NUMBER= 93011963 APPLICATION
DATE= 12/15/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 8016 E BUCKEYE AVE PARCEL#= 45072.4902
ADDRESS= SPOKANE WA 99212
PERMIT USE= KITCHEN REMODEL & ENLARGE WINDOW
PLAT#= 001869 PLAT NAME= ORCHARD AVENUE ADD REPLAT
BLOCK= 259 LOT= ZONE= UR -7X3 DIST#=
AREA= 00000000 F/A= F WIDTH= DEPTH=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= BAXTER, JOHN & MARCELLA
STREET= 8016 E BUCKEYE AVE
ADDRESS= SPOKANE WA 99212
E
R/W=
PHONE= 509 926 9150
CONTACT NAME= BLUE MOUNTAIN BUILDERS PHONE NUMBER= 509 535 9594
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING
COMMENTS:
PLAN REVIEW REQUIRED
Of -1) -3-. LlvR D
l2-
******************************* BUILDING PERMIT *******************************
CONTRACTOR=
STREET=
ADDRESS=
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
BLUE MOUNTAIN BUILDERS INC
130 N CRESTLINE
SPOKANE WA 99207
REMODEL= X
OCCUP. LD=
X SQ FT=
#HANDICAP=
PHONE= 509 535 9594
ADDITION= CHANGE OF USE=
BLDG HGT= STORIES=
SPRINKLER= N
CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 7400.00
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
QUANTITY FEE AMOUNT
Y
Y
Y
99.00
4.50
17.82
s.
PROJECT NUMBER= 93011963 APPLICATION DATE= 12/15/93 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= BLUE MOUNTAIN BUILDERS INC
STREET= 130 N CRESTLINE
ADDRESS= SPOKANE WA 99207
ITEM DESCRIPTION
VENTILATING FANS
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
PHONE= 509 535 9594
QUANTITY FEE AMOUNT
1 10.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
121.32
10.00
131.32
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00
.00
121.32
10.00
.00 131.32
******************************** THANK YOU ************************************
•
•
APPLICATION WORKSHEET
General Information
Job address ceo e7, 6/Lex_ zsi
Parcel flunjber
—Owner
1
Mailing address
City
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Phone
State
Zip
Site Information
Legal Descnption
Properly size
Water DoInct
Number ot: Dwellings
w
Builduip
Project Information
Permit Use
K-- t le ke-0 ,Z ---( D el__
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New
Addition
Re7
Change of use
Total square footage
Req'd parking
Handicap pa Bang
Building Information
Dwelling units
-Occupant load
Building height
Stones
Building dimensions
—L
Total square footage
Req'd parking
Handicap pa Bang
Spnnkler system
Critical Material
Square footage breakdown
am floor
Uncovered /covered deck
Second floor
Other
Finished basement
Floor
Unfinished basement
Door (u—value)
Ua rage
Furnace illicency
Contractor Information
Heating and insulation information (R -values)
Heat source
Plat ceiling
Vaulted ceiling
Above grade wan
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace illicency
total window area
% ot Boor area
Building contractor
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Plumbing ntractor
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License number
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Phone
License number
Phone
Mailing address
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Mailing address
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City, state, zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Mailing address
City, slate, zip
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City, state, zip
PHONE
S3S• q5 -q
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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DEPARTMENT OF LABOR ANDS ND DSS AS RIo DED BY LAW AS A
S
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REG
L1. PiOUN �M$ I3UILbERS INC,
130.: # CRESTLIi E WA 992137
SPOKM4 E
STATE OF WASHINGTON
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