1995, 05-08 Permit App: 95003068 AdditionPROJECT NUMBER= 95003068
APPT,IATION
DATE= 05/08/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2604 N ELLA RD
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE ADDITION - MUD ROOM
PARCEL#= 45072.6003
PLAT#= 001868 PLAT NAME= ORCHARD AVENUE ADD (TR.1-228)
BLOCK= 194 LOT= ZONE= UR 7 DIST#= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
# OF BLDGS= 1 # DWELLINGS= 10 WATER DIST =
OWNER= HITCHCOCK, DEAN
STREET= 1415 LAKESIDE
ADDRESS= COEUR D 'ALENE ID 83814
CONTACT NAME=
BUILDING SETBAC
***************
DEPARTMENT
PHONE= 208 664 5939
DEAN HITCHCOCK PHONE NUMBER= 208 664 5939
KS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= 40
*****************************
*************** REVIEW INFORMATION
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
10 X 8 SQ FT=
#HANDICAP=
PHONE=
ADDITION= X
BLDG HGT= 9 STORIES=
80 SPRINKLER= N
CRITICAL MAT= N
CHANGE OF USE=
DESCRIPTION GROUP TYPE SQ FT
RES ADD
R-3
VN
80
VALUATION
4640.00
PROJECT NUMBER= 95003068 APPLICATION
ITEM DESCRIPTION
DATE= 05/08/95 PAGE= 02
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 72.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 12.96
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 89.46 .00 89.46
89.46
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 89.46
******************************** THANK YOU ************************************
What is the JOB SITE address?
APPLICATION INFORMATION
77, ,7
Legal description as it a on th property deed
City, state
,&P_1� 2�
OWNER or OCCUPANT
Wailing address
ASSESSORS tax parcel number?
Zip
Who // �
should��wec/o�ntact re'//gar g this project?
What work is bkp,�'ng done under this pen
gar:
1/
r A! CT aV f
Contractor
e Contractorr kc erase #
WA
Building height
l�mensronc )L' e- -- /
# of stories
TO ALS DARE FOOTAGE
Mailing address
Main floor area
2nd floor area
Unfinished basement area
Finished basement area
Architect/Engineer
What ie the heat source)
Manufactured Ho
Garage area
Size of decks, etc.•
project? 2r1 -
S60
c)
Width:
Length:
What is the square footage of
Me sign face)
How high is the sign?
Year:
Make:
Installer
We State Contractor license #
Mailing address
Contractor
Wa State Contractor license X
Mailing address
Relocation:
Fire Safety
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm Fireworks display
VALUE
Contractor
A State Contractor license #
Contractor
\WA State Contractor license*
Mailing address
Mailing address
1
Suet Storage Tanks:::::
Swimming Pool< > .>
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Wa State Contractor license #
Contractor
''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.
C.
CP
Site Pian
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1
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
O Underground utilities
O North arrow
❑ Septic tanks & wells