1996, 05-28 Permit App: 96003820 ReroofPROJECT NUMBER= 96003820 APPLICATION DATE= 05/28/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11014 E 23RD AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE ROOF RESIDENCE
PLAT#= 001393 PLAT NAME=
BLOCK= LOT=
AREA= 00000000 F/A=
# OF BLDGS= 1 # DWELLINGS=
OWNER= PILGRIM, GARY
STREET= 11014 E 23RD AVE
ADDRESS= SPOKANE WA 99206
PARCEL#= 45282.3609
KOKOMO TOWNSITE
ZONE= AGSUB DIST#=
F WIDTH= DEPTH=
1 WATER DIST =
CONTACT NAME= GARY PILGRIM
BUILDING SETBACKS: FRONT= NA LEFT= NA
F
R/W=
PHONE= 509 926 8835
PHONE NUMBER= 509 926 8835
RIGHT= NA REAR= NA
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
X SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
RE ROOF R-3 VN
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
PERMIT TYPE FEE AMOUNT
BUILDING PERMIT 96.61
96.61
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= STORIES=
SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
3000 4000.00
QUANTITY FEE AMOUNT
Y
Y
Y
75.50
4.50
16.61
AMOUNT PAID AMOUNT OWING
.00 96.61
.00 96.61
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address?
/1/014 et'. 2e
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
OWNER or OCCUPANT
49wV
Phone
97_G
Mailing address
/A0/4 6-23 ej)
City, state
goAr kh
Zip
95-0)6
Who should we con t regarding this project?
4.40 v d4e.A.1
Phone
50T 926 88,55
What work is being done under this permit?
4one
Water. district.:.: •: .
Inspector distnct
Property size
Night of way width
Buildin
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
aryf, 49‘.9(9. ‘,3
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire.:Safety
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Ft...iel'StOtageTpnks " ::" '
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
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.
CI
Site'Plan
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells