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1994, 02-22 Permit App: 94001386 Fire RestorationPROJECT NUMBER= 94001386 APPLICATION DATE= 02/22/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 904 N BURNS RD ADDRESS= SPOKANE WA 99206 PERMIT USE= FIRE RESTORATION PLAT#= BLOCK= AREA= # OF BLDGS= 002906 PLAT NAME= 1 LOT= 00000000 F/A= 1 # DWELLINGS= OWNER= CLARK, JANET STREET= 904 N BURNS RD ADDRESS= SPOKANE WA 99206 PARCEL#= 45141.0716 WHITE ADD 13 ZONE= AGRI F WIDTH= 100 1 WATER DIST CONTACT NAME= DEE QUINTO CO. BUILDING SETBACKS: FRONT= NA LEFT= NA PHONE= DIST#= F DEPTH= 317 R/W= 50 PHONE NUMBER= 509 326 2584 RIGHT= NA REAR= NA ****************************** REVIEW INFORMATION ***************************** DEPARTMENT BUILDING COMMENTS: REVIEW REQUIREMENT PLAN REVIEW REQUIRED /0--a ******************************* CONTRACTOR= STREET= ADDRESS= NEW= DWELL UNITS= BLDG W X D = REQ PARKING= BUILDING PERMIT DEE QUINTON CO 1806 W WEDGEWOOD AVE SPOKANE WA 99208 REMODEL= X OCCUP. LD= X SQ FT= #HANDICAP= DESCRIPTION GROUP TYPE SQ FT ******************************* PHONE= 509 325 2818 ADDITION= CHANGE OF USE= BLDG HGT= STORIES= SPRINKLER= N CRITICAL MAT= N VALUATION REMODEL R-3 VN 40000.00 ITEM DESCRIPTION RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE PERMIT TYPE QUANTITY FEE AMOUNT Y 349.50 Y 4.50 Y 62.91 FEE AMOUNT AMOUNT1PAID AMOUNT OWING PROJECT NUMBER= 94001386 APPLICITION DATE= 02/22/94 PAGE= 02 PERMIT TYPE BUILDING PERMIT FEE AMOUNT AMOUNT PAID AMOUNT OWING PROCESSED BY: JOHN LARSON PRINTED BY: JOHN LARSON 416.91' .00 416.91 416.91 .00 416.91 ******************************** THANK YOU ************************************ APPLICATION WORKSHEET General Information j Job address qD y �urti� ifd I'arcel number Own Phone Mailing address 90 City _ 14".! /e State Zip Site Information Legal Descnption Property size Wate,r'D/tsstnct vG-R Project Information Numberot: Dwellings Buildings Permit Use , atr. a -c /i471/1—i !%r/ Building Information New Addition Remodel Change of use 1 Dwelling units Occupant Load Building height Stones / Building dimensions 1 otal square tootage Keq'd parking Handicap parking Sprinkler system Cntical Matenal Square footage breakdown ain floor Uncovered /covered deck Second Moor Other Finished basement Floor Unfinished basement Door (u—value) Garage Furnace etriancy Contractor Information Heating and insulation information (R -values) t Heat source Flat ceiling Vaulted ceiling Above grade wall Below grade wall Floor Slab on grade Door (u—value) Window Furnace etriancy total window area % of tloor area Building contractor ., e c,,r s,.,v / 1 6 el/ C% Plumbing contractor 1 L ease number Dr k' ouC -72._07--5 Phone 2yi:Py License number Phone Ma ttigg address� 1g)& 6. Ge -')62 /�G Gc/DG9Gf�J Mailing address City, state, zip j City, state, zip Heating contractor Other/ Lender License number Phone License number Phone Mailing address Mailing address City, state, zip City, state, zip PRO CT CONTACT '///)o cifn4/cod PHONE 99 #•.5` 4-E Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675