1996, 08-19 Permit App: 96006724 Sheetrock BasementPROJECT NUMBER= 96006724 APPLICATION`
DATE= 08/19/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2115 S CENTURY CT PARCEL#= 45261.902OPTN
ADDRESS= VERADALE WA 99037
PERMIT USE= SHEETROCK BASEMENT
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= 2 LOT= 1 ZONE= UR -3.5 DIST#= F
AREA= 00010648 F/A= F WIDTH= 83 DEPTH= 129 R/W= 50
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= MARTINEX, RICHARD
STREET= 2115 S CENTURY CT
ADDRESS= VERADALE WA 99037
PHONE= 509 921 1857
CONTACT NAME= RICHARD MARTINEZ PHONE NUMBER= 509 921 1857
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 400.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 35.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 7.70.
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
f t..
9
PROJECT NUMBER= 96006724 APPLICATION
PERMIT TYPE
DATE= 08/19/96 PAGE= 02
FEE AMOUNT. AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 47.20 .00 47.20
47.20
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 47.20
•******************************* THANK YOU******************+.**+.+.R************
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APPLICATION INFORMATION
'What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
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OWNER or OCCUPANT
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Mailing address
Phone
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City, state
Zip
Who should we contact regarding this project?
Phone
What work is being done under this permit?
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Water
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Building
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 projecp 1:0D e.(
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
We State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety:;
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Ten
Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
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.