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2002, 02-26 Permit App: 02001160 Raise House
s Project Number: 02001160 Inv. Application Date: 2/26/2002 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RAISE HOUSE TO REPAIR DAMAGE FROM Contact: KEN WANLESS SETTLING Address: P.O. BOX 5374 C - S - Z: SPOKANE, WA 99205 Setbacks: Front Left: Right: Rear: Phone: (509) 951-7579 Group Name: Site Information: Project Name: Plat Key: 002218 Name: RIDGEMONT ESTATES District: F Parcel Number: 45255.0222 Block: SiteAddress: 16325 E 22ND AVE VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: Owner: Name: SPARBER, IRENE Address: 16325 E. 22ND VERADALE, WA 99037 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Page 1 of 2 Review Plan Review Permits: Zr 111.540 / /5 5 ce Operator: RMB Printed By: RMB Print Date: 2/26/2002 Project Number: 02001160 Inv: 1 Application • Date: 2/26/2002 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Address: 0 000000, 00 000000 Building Permit Page 2 of 2 Firm: OWNER Phone: (000) 000-0000 Building Characteristics Const Category: Remodel Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: Y Building Sq Ft: Req Parking: Handicap Parking: Description RESIDENCE Grp Type Notes R-3 VN REMODEL Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Payment Summary: Permit Type Building Permit Type: Building Height: Stories: Sprinklers: 0 Critical Materials: 0 This Application: Total Project: Sp Ft Valuation Sq Ft Valuation 0 $3.500.00 0 $3.500.00 Totals: 0 $3,500.00 0 $3,500.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Fee Amount Invoice Amount $111.86 $111.86 $111.86 $111.86 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized contained within to be true and correct, and agrees that all provisions of complied with. Subsequent issuance of a permit shall not be contrued to provisions of the code or of any other state or local laws or ordinances. Signature: Operator: RMB Fee Amount $88.00 $4.50 $19.36 $111.86 Amount Paid Amount Owing $0.00 $111.86 $0.00 $14.86" by the owner) has both examined and finds the information laws and/or regulations governing this type of work will be he a permit for, or an approval of, any violation of any of the Printed By: RMB Print Date: 2/26/2002 Aignik SPOKANg COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 \VEST BROADWAY AVENUE SPOKANE, \V1\ 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: ] 636? da. A. I /1 /a. 9,6 7 Assessor's Tax Parcel Number(s): Legal Description: Project Description: l i17 5 L- 111J 5 73 £52/, -1 L Se7 Z, uy 1716Building Permit ❑ Change in Use ❑ Grading El Manufactured Home Permit ❑ Relocation El Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear. Left: Right. School District: Fire District: Zoning OWNER/APPLICANT INFORMATION 0 Indicate who rhauld be ,anhnted rmzrdin, /hi.r pro eti ❑ 0, net /� �/JPhone 5 J- P `i € y� $ g &L I'ax 9 — �j �',— I b 3 (f (7].\pphcaru Pit ‘;$701 -es' S Phone: 95/_ 75' 72 Fax: 9g I""07 1' \lading Address: 1 /c 30/ 5 9— ,Pa,v6 2"d floor sq. ft. Nlaihng Address: h aeA S 37 L/ Construction type aty, Mate, eti4d G2 Cha ©3 Cth, titate, %t 5- , G�� r 4'.?0 5' ❑Contractor Phone� Fax ❑ Architect I:n nccr l'hone Fax Mailing address Mailing address (:ib. State Zip Cm, State lap \\ A State Contractor license # Contact name PROTECT INFORMATION Building Information Building height to pcak /(3'11 # of stories / \lain floor sq. ft. i Erov Unfinished basement sq. ft. 9D-0 Dimensions "total habitable space 2"d floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage se . ft. Deck sq. ft. Cost of pnticct 350b/OD I Ic.tt source (cketrtc, gas, ctc.) tltA/t Peg.wiNcr 1--og, /6301.5 fbitAL, 0-2/Az 02 e%14/ ;1'fb re4A; MAA4'161 be1/1,61e tr7C-- 50 32 07/411- a/err re/to d I e 1--eet 77111"er("--