1995, 08-31 Permit App: 95006886 ReroofPROJECT NUMBER= 95006886 APPLICATION .
DATE= 08/31/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 107 N CLINTON RD
ADDRESS= SPOKANE WA 99216
PERMIT USE= RE ROOF RESIDENCE
PLAT#= 002620 PLAT NAME=
BLOCK= 1 LOT=
AREA= 00000000 F/A=
# OF BLDGS= # DWELLINGS=
OWNER= BRANSON, LUCILLE
STREET= 107 N CLINTON RD
ADDRESS= SPOKANE WA 99216
PARCEL#= 45154.2303
TART'S SUB
3 ZONE= AGSUB
F WIDTH= 80
1 WATER DIST =
CONTACT NAME= SIERRA CONST.
BUILDING SETBACKS: FRONT= NA LEFT= NA
DIST#= F
DEPTH= 215 R/W= 50
PHONE= 509 926 5257
PHONE NUMBER= 509 483 5504
RIGHT= NA REAR= NA
******************************* BUILDING PERMIT *******************************
CONTRACTOR=
STREET=
ADDRESS=
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
SIERRA CONSTRUCTION OF SPOKANE PHONE= 509 483 5504
6017 N JULIA
SPOKANE WA 99207
REMODEL= X
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 55.24
55.24
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
SQ FT
ADDITION= CHANGE OF USE=
BLDG HGT= STORIES=
SPRINKLER= N
CRITICAL MAT= N
VALUATION
1889.00
QUANTITY FEE AMOUNT
Y
Y
Y
AMOUNT PAID
.00
.00
43.00
4.50
7.74
AMOUNT OWING
55.24
55.24
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or OCCUPANT
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Mailing address
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Phone
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City, state
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Who should we contact regarding this project? Phone
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Zip
What work is being done under this permit?
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Building
Contractor
Building height
# of stories
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
MaTngEaddress
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Main floor area
Unfinished basement area
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Architect/Engineer
2nd floor area
Finished basement area
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project
t
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 _
Tent
Paint booth _ Fire Alarm _ Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks.
ISwimminn Pool:
(Circle one) Above -ground Underground
Contents of tank(s)
Contractor
Size / gallons
Size / gallons
Private
Contractor
Public/semi-private
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.
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