1993, 10-18 Perit App: 93009954 RemodelPROJECT NUMBER= 93009954 APPLICATION
******
THIS IS NOT A PERMIT
DATE= 10/18/93 PAGE= 01
******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4818 S LOW WAY CT PARCEL#= 44022.1705
ADDRESS= SPOKANE WA 99206
PERMIT USE= REMODEL KITCHEN - INSTALL TWO WINDOWS, CABNETS, & COUNTER
PLAT#= 001743
BLOCK= 3
AREA=
# OF BLDGS=
PLAT NAME= MYRON ESTATES NO 8
LOT= 5 ZONE= UR -3.5 DIST#=
F/A= F WIDTH= DEPTH=
# DWELLINGS= 1 WATER DIST =
OWNER= BUSHHOLZ, LESLIE
STREET= 4818 S LOW WAY CT
ADDRESS= SPOKANE WA 99206
E
R/W=
PHONE= 509 924 1396
CONTACT NAME= DAN GATES PHONE NUMBER= 509 534 0995
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
BUILDING
COMMENTS:
REVIEW REQUIREMENT
REVIEW COORDINATOR - R BURRIS i742= rn '
a-
PLAN REVIEW REQUIRED
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****************************** BUILDING PERMIT *******************************
CONTRACTOR=
STREET=
ADDRESS=
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
DAN GATES HOME SERVICE
5320 E 25TH AVE
SPOKANE WA 99223
REMODEL= X
OCCUP. LD=
X SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
REMODEL R-3 VN
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
PHONE= 509 534 0995
ADDITION= CHANGE OF USE=
BLDG HGT= STORIES=
SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
6000.00
QUANTITY FEE AMOUNT
Y
Y
Y
81.00
4.50
14.58
PROJECT NUMBER= 93009954 APPLICATION
PERMIT TYPE
BUILDING PERMIT
PROCESSED BY
PRINTED BY
************
DATE= 10/18/93 PAGE= 02
FEE AMOUNT AMOUNT PAID AMOUNT OWING
100.08
100.08
: BURRIS, ROBIN
: BURRIS, ROBIN
.00
.00
100.08
100.08
******************** THANK YOU ************************************
APPLICATION WORKSHEET
_ General Information
Parcel number
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Owner
Mailing address
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City
State
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Zip•
Site Information
Legal Description
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Property size
Water District
It►tpecto
Number ot:
Road:width:
Dwellings Buddmgs
Project Information
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Permit Use
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it
New
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Addition
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Remodel
NI—
Change of use
Total square footage
Building Information
'46060. OD
Dwelling units
Occupant Load
Budding height
Stones
Budding dimensions
Total square footage
Req'd parlang
Handicap parking
Sprinkler system
CnticalMatenal
Furnace efficency
total window area
Square footage breakdown
Ma in floor
Uncovered / covered deck
Second floor
Other
Finished basement
Floor
Unfinished basement
Door (u—value)
Garage
--
Furnace efficency
Contractor
Contractor Information
1
Heating and insulation information (R—values)
Heat source
Flat ceding
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace efficency
total window area
% of tloor area
Budding contractor
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Plumbing contractor
License number
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Phone
3-17/--0 ef
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License number
Phone
Mailing address
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Mailing address
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City, state, zip
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Cit state
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Heating contractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
PROJECT CONTACT
PHONE
RS
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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