1996, 07-01 Permit App: 96005090 CarportPROJECT NUMBER= 96005090 APPLICATION DATE= 07/01/96 PAGE= 01
****** THIS IS NOT A PERMIT `"***"
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2019 N LOCUST RD PARCEL#= 45083.0247
ADDRESS= SPOKANE WA 99212
PERMIT USE= CARPORT 20 X 26
PLAT#= 001853 PLAT NAME= OPPORTUNITY PLAT # 2
BLOCK= LOT= ZONE= 13-2 DIST#= H
AREA= F/A= F WIDTH= DEPTH= R/W= 45
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = MODERN
OWNER= KJOS, CLAYTON
STREET= 2019 N LOCUST RD
ADDRESS= SPOKANE WA 99212
PHONE= 509 924 5474
CONTACT NAME= CLAYTON KJOS PHONE NUMBER= 509 924 5474
BUILDING SETBACKS: FRONT= 50 LEFT= EXIS RIGHT= 25 REAR= 20+
****************************** REVIEW INFORMATION k1_A A **AAAA****A**************
DEPARTMENT .REVIE'W REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
\Tc IAN)
COMMENTS:
e/1 (/o
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
7/6‘
******************************* BUILDING PERMIT kA***++*AAt********************
CONTRACTOR= OWNER
PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 20 X 26 SQ FT= 520 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
CARPORT U-1 VN 520 2340.00
PROJECT NUMBER= 96005090 APPLICATION
ITEM DESCRIPTION
DATE= 07/01/96 PAGE= 02
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 64.75
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 14.25
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 83.50 .00 83.50
33.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 83.50
•*********,r**x*** *:eek x*+•xx* * * THANK YOU•**z••xx**x*tt***t*xx******x**w+***+
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APPLICATION INFORMATION
9(c,-5c9D
What is the JOB SITE address?//��
2-0 (7 L -OCL S - /C -P
ASSESSOR'S tax parcel number?
CA -t--3.
Y' -L3 , C ts-I'ri -2194-0
Legal description as it appears on the property deed
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OWNER or OCCUPANT
CGA y Ton,/ k fes.
Phone
9 2.9L, - s akin
Mailing address
242(9 Locust ko
City, state Zip
Sc'olc.ex.E 641- 9y2-ct-sem
Who should we contact regarding this project?
- Phone - /
What work is being done under this permit?
2cP/cAin/G oc 4/a."02i -
Lone . , .......
Inspector distract
Property size - -
Night of way width
Water district
Building,;
Building height
# of stories
Contractor
—ca-e.ab
Dimensions
x 2(j0
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
A/ 2-47/9 Lo cur/ 2-2s
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?
Manufactured. -Horne.----.:.. ,
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
1
-
Mailing address
Fuel- Storage .Tanks : ,
Swimming Pool.. • • .
(Circle one) Above -ground Underground
Size / gallons
Private
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 INFORMATI
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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