HomeMy WebLinkAbout1985, 08-19 Permit App: 00006956 Siding• /
SPOKANE COUNTY l
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND,COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name (last) (first) (m)
Department Use Only
CARSON JOANNE M.
F. Comm
2 Project Address (not Mailing Address) a Road Name Space Zip
East 8008 Harrington 99213
3 City/Community
Spokane
State
WA--#41-MWS-ADQ
Subdivision/Plat Name
ilON fi0 l f c a.....
4 Assessor Parcel No.
/n p 4 _ o9y6
Y/U -!rne
Lot
Block
* * * DEPARTMENT USE ONLY *
5 Sic Cada Act. 0(
Zone ^ 6. 1p
7/�'
Project No. �`� ,-
(� (Y/�
6 Dwell 0
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Bads -Front
046-1
(R)S-2 I Rear
Census Tract
Module No.
Initials
' 16 Architect Firm Name I Street Address
Zip
City
State
Phone
Contact Person
Phone if different than above
( )
Contractor Firm Name
McVay Brothers Contractors, Inc.
Street Address
N. 3106 Argonne Road
Zip
99212
City
Spokane
State
WA
Phone
(509 ) 928-4686
Contact Person
Harry McVay
License No.
MCVAYBC346ME
Phone if different than above
( ) SAME
8 Owner/Agent (If different than 01 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
Plan Check (Y/N)
Other (Y/N) IISEPA Exempt (YIN)
Date
15 Type Work 0 Bldg
❑ Fire
0 MH
0 Demo
0 New
0 Add/Alter
0 Replace
0 Move
M Other
Repair
14 Describe Work
Steel Siding
10 Applicant Name
Street Address
11 Zip
City
State
Phone
( )
Lender
Street Address
Zip
City
State
Phone
1 1
Contact Person
Phone If different than above
( )
Additional Information
VALUATION - $2987.00
PERMIT FEE - $47.00