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2002, 03-26 Permit App: 02001921 Finish ResidenceProject Number: 02001921 Inv: 1 Application THIS IS 51OT A PERNIIT Penalties will be assessed for commencing work without a permit Date: 3/26/02 Page 1 of 2 Project Information: Permit Use: FINISH RESIDENCE - INSULATION, Contact: CONSTRUCTION INS SRVCS INC SHEETROCK, & FINISHES Address: 8907 E MAIN C - S - Z: SPOKANE WA 99212 Setbacks: Front Le Ft: Right Rcai: Phone (509) 891-2880 Group Name: Site Information: Project Name: Plat Key: 005492 Name: LEISURE COURT District: F Parcel Number: 45153.5502 Block: 1 Lot 2 SiteAddress: 207 N HOUK LN SPOKANE, WA USA 99216 Location:: SPO Zoning: U14-7 Water District. Urban Residential -7 Owner: Name: CREEKSIDE CONSTRUCTION Address: 8907 E NIAIN SPOKANE WA 99212 Hold: ❑ Area 4,552 Sq Ft Width: 56 Depth: 80 Right Of Way (ft): 0 Nbr of Bldgs. 1 Nbr of Dwellings 1 Review Information: Permits: Building Permit Contractor: CONSTRUCTION INS SRVCS LLC Firm: CONSTRUCTION INS SRVCS LLC Address: 8907 E MAIN Phone: (509) 891-2880 SPOKANE WA 99212 Building Characteristics Const Category: Remodel Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: 0 Req Parking: Handicap Parking Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq FI Valuation Sq Ft Valuation RESIDENCE R-3 VN IIOUSEFINI 0 $15,000.00 0 $15.00000 SII Totals: 0 $15,000.00 0 $15,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $225.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 • Y OR BLANK $49.61 Operator: JAS Printed By: JAS Permit Total Fees: $279.61 Print Date: 3/26/02 Project Number: 02001921 Inv. 1 Applicatipp THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/26/02 Page 2 of 2 Notes: , OK TO ISSUE SEWER PERMITS PER BILLY 9/5/95 CKF Payment Summary: Permit Type Building Permit c Fee Amount Invoice Amount Amount Paid Amount Owine $279.61 $279.61 $0.00 $279.61 $279.61 $279.61 $0.00 $279.61 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: - Operator: JAS Printed I3y: JAS Print Date: 3/26/02 Sow. CouKn. PROJECT APPLICATION WORK SHEET SPOKANE COUi?n' DIVISION OF I3UILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, Wi\ 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: ao 7 r (400k 2oAt5 Assessor's Tax Parcel Number(s): Legal Description: Project Description: /-inter 1-lo‘yc O Building Permit O Change in Use O Grading O \lanufactured Home Permit O Relocation O Sign O Tenant (Nem/Change) O Other -DCpaYtment.USC Orily.1•.? .., ..: �'... ._. .. .. . ;... _ .. . , . - 'er p.m./purveyorSeucr .».It ,a..,;.,,: :: l> srbct/Nurveyur r,, ' Road width) ; � 'r . y', n' ; Setbackey.-,.'_: . Front. , • . . Rear , Right 'School District - .,.:k Tim Drstn<r},;..,, (, .. Z...t .. r xh;yi.t.; - . Zoning . , f1n, st, to /ip $ po,4 A✓) t >,JA-sA 99c) la v.. Ldfr. ' OWNER/APPLICANT INFORMATION Ifulmlr oho ihoahl Ge uur/adrd re Jahn thio pmid 0 t h, tier Phone PhoSoy 9 /a2 8$o C����SCOt art" j, Ia, so9g9JO o 0 Applicant Phone S� »,� a. t\Imlmg AJdress- hUding Address Dnnurn ins Crp, Sum, / p .5 701z a L WA 9 1 c) 7 a_ Gn. State, Zip Fuushul b,mentenl Nil it -Z Contractor Thant So p / $`9 I c). Se 0 C --T (_ S 1.--C II` ro/011 aloao ❑ Archncel/DVanrcr Phone 1-a. Mailing addressNIa,Img S7o7 L ill rl=n address f1n, st, to /ip $ po,4 A✓) t >,JA-sA 99c) la (±i. State /sip \\ .\ sun. contractor hecnsc = Consrs s 99List- 4 l:nnuel name PROTECT INFORMATION Building Information -. Budding Might at peak #n(s1,nea I\ lain (1uor sy ft- Unfuubt J basin nisy fa. Dnnurn ins Total habitable space 2"d Ho. g- sq ti Fuushul b,mentenl Nil it Occupancy group Construction ape Garage sq. ft. 1hdi sq. (t Cost f protea I lcat 8111.11Ce (electric, gars. etc ) Ths4 e e C f=„2,s S