1996, 03-11 Permit App: 96001221 GaragePROJECT NUMBER= 96001221, APPLICATION DATE= 03/11/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4039 S FOREST MEADOWS DR PARCEL#= 45333.0110
ADDRESS= SPOKANE WA 99206
PERMIT USE= DETACHED GARAGE - 24 X 36
PLATO= 000875 PLAT NAME= FOREST MEADOW ADD
BLOCK= 1 LOT= 10 ZONE= UR -3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 125 DEPTH= 150 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= MARTIN, JIM
STREET= 4039 S FOREST MEADOWS DR
ADDRESS= SPOKANE WA 99206
PHONE= 509 927 0600
CONTACT NAME= CHUCK RINDAL PHONE NUMBER= 509 926 7292
BUILDING SETBACKS: FRONT= 50+ LEFT= 50+ RIGHT= 5 REAR= 5
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING CONTRACTOR LICENSE REQUIRED
COMMENTS:}JP —Mg&
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BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED Cl2\ "t -AT Fot CJ-tE
COMMENTS: `LAIC -4J mac = 1, cam- I 1"9(P
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
etc- )Jo coy46,c* 3/111 r 6, J �v
*******************************
CONTRACT
ST
ADD
NKNOWN
= UNKNOWN
= UNKNOWN WA UNKN
BUILDING PERMIT *******************************
-(p PHONE=
NEW= REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 24 X 36 SQ FT= 864 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 96001221 APPLICATION -DATE= 03/11/96 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE U-1 VN 864 10368.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 150.75
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 33.17
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 188.42 .00 188.42
188.42
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 188.42
******************************** THANK YOU ************************************
What is the JOB SITE address? ASSESSOR'S tax parcelber?
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APPLICATION INFORMATION
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OWNER or OCCUPANT
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Mailing address
Phone ,
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City, state
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Who shouI51 we coyact regardinq4, project?
What work is being done under this permit?
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Phone
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Zip
Contactor
WA State Contractor lise #
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Mailing ddress
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Architect/ n
gin eer /7
What is the heat source?
Ai
Man
Building height
Belle /�/9�
Dimensions
X36.
# of stories
TOTAL SQUARE FOOTAGE
Main floor area
2/"
ufactured Home
2nd floor aceta .
Garage area
What is the cost of your proje
Unfinished basement area
))t7k
Finished seraent area
Size of d/ ks;ietc.
Zc
Sig
n
Width:
Year:
Length:
What is the square footage of
the sign face?
How high is the sign?
Installer
Make:
Wa State Contractor license #
Contractor
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire:Safety'
Previous address
Contractor
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display _
VALUE
WA State Contractor license #
Mailing address
Contractor
WA State Contractor license #
Mailing address
Fuel Storage Tanks
Swimming <Pool
(Circle one) Above -ground
Underground
Contents of tank(s)
Contractor
Size / gallons
Size / gallons
Private
Wa State Contractor license #
Mailing address
Contractor
Public/semi-private
WA State Contractor license #
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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N&N
Neville & Neville Insurance
4720 200th Street S.W., Suite 100
Lynnwood, Washington 98036
(206) C70-1552
1-(800) 900-1552
FAX(206)670-1933
REGISTERED AS PROVIDED BY LAW AS A:
CON
T CUNt
Angle Nelson
Agent
GENERAL.
REGISTRATION NUMBER
EXPIRATION DATE
. 0i..`
8INDAC,IOES M
O6r13/96
EFFECTIVE DATE.
06/14/9S
-4DAL 'CONSTRUCTION
23408 EDMONDS WAY C30
EDMONDS WA 98Q26
SIGNATURE
ISSUED BY DEPAR ENT OF LABOR AND INDUSTRIES
S. Forest Medow Drive
Existing House
20' + to Existing House
5' + to fence
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/A sin/Ai To
Existing Fence
5' + to fence line
F
5' Mui To