1995, 09-19 Permit App: 95007468 Remodelc PROJECT NUMBER= 95007468 APPLICATION DATE= 09/19/95 PAGE= 01
******
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 3621 S FOX RD PARCEL#= 45331.1207
ADDRESS= SPOKANE WA 99206
PERMIT.USE= ENLARGE EXISTING WINDOWS & SLIDING GLASS DOOR IN BASEMENT
PLAT#= 003146 PLAT NAME= MIDILOME 1ST ADD
BLOCK= 4 LOT= 7 ZONE= UR -3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= GARCIA, GILBERT
STREET= 3621 S FOX RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 922 1723
CONTACT NAME= GILBERT GARCIA PHONE NUMBER= 509 922 1723
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
****************************** REVIEW INFORMATION ********** *** *************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED.
COMMENTS:
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******************************* BUILDING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 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 2000.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 45.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 8.55
PERMIT TYPE FEE AMOUNT
AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 95007468 APPLICATION DATE= 09/19/95 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 58.05 .00 58.05
58.05
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 58.05
******************************** THANK YOU ************************************
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APPLICATION INFORMATION q5---714(0?
What is the JOB SITE address? ASSESSOR'S tax parcel number?
`Cop I ,C - address?.
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Legal description as it appears on the property deed
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Who should we contact regarding this project? Phone /
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What work is being done under this permit?
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Lone
Inspector district
Property size
Hight of waywidth
Water district
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 project?` teledie
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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 Swimming Pool
(Circle one) Above -ground Underground
Size / gallons - _
Privst9
Contents of tank(s)
Size / gallons
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.
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