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1999, 05-13 Permit App: 99004098 Rebuild RoofProject Number: 99004098 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REBUILD ROOF Contact: WATER, TOM Address: 805 S EDGERTON RD Date: 5/13/99 Page 1 of 2 Site Information: Setbacks: Front Left: Right: Rear: kb.SMY ::nnISSOMSCM• tOW:S`.XtyS.M.:.0:Sf:Sf OS.W.AvaQl?c :• Plat Key: 000190 Name: BEVERLY HILLS 1ST ADD. C - S - Z SPOKANE, WA 99212 Phone: (509) 928-8702 c.Quai£0.:0;;;NO:4-;555::.cf :'i.3:t': a District: D Parcel Number: 45193.0214 SiteAddress: 805 S EDGERTON RD SPOKANE, WA 99212 Location:: SPO Zoning: AGSUB Water District: Owner: Name: WATER, TOM Address: 805 S EDGERTON RD SPOKANE, WA 99212 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information:„„z:,;a.:mu:„;,:„H.„;F,;, ;,:;w,;:,,„,, Department BUILDING Comments: Review Plan Review -qc Permits: "raersennw Building Permit Contractor: OWNER Address: 0 000000, 00 000000 u.n,::3J Finn: OWNER Phone: (000) 000-0000 Building Characteristics Const Category: Remodel Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Gry Ing Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VN ROOF 0 $1,776.53 0 $1,776.53 REBUILD Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 0 $1,776.53 0 $1,776.53 Units Unit Desc Fee Amount 1 Y OR BLANK $57.75 1 Y OR BLANK $4.50 1 YORBLANK $12.71 Permit Total Fees: $74.96 Project Number: 99004098 Inv: 1 dry, Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/13/99 Page 2 of 2 Payment Sunman': '5 ......................................................................................................................................... Operator: CKF 'Printed By: CKF Print Date: 5/13/99 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing BuildingPermit $74.96 $74.96 $0.00 $74.96 $74.96 $74.96 $0.00 $74.96 Notes: .M:Mc.:ng?.'-aa**gzi'MM:g5S92eIet.til'aaaza.:Ma.,£.2,MEZSVeat:MPSEME:iae&XVWX:a<ttlx&a..,<MZEM..9se,eS*M • LOTS 12 & 16 BLOCK 6 HAVE SPECIAL DRAINAGE REQUIREMENTS PLEASE REFER TO ENGINEERS