1996, 07-25 Permit App: 96005919 Reconstruciton Reroof Garagei -t,;6413
PROJECT NUMBER= 96005919 APPLICATION DATE= 07/25/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12013 E MANSFIELD AVE PARCEL#`= 45094.0435
ADDRESS= SPOKANE WA 99206
PERMIT USE= RECONSTRUCTION RE ROOF GARAGE
PLATO= 002018 PLAT NAME= PINECROFT
BLOCK= 33 LOT= ZONE= UR -22 DIST#`= H
AREA= 00000000 F/A= A WIDTH= DEPTH= R/W=
# OF BLDGS= # DWELLINGS= WATER DIST = UNKNOWN
OWNER= BET, ED FAMILY TRUST
STREET= 12013 E MANSFIELD AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 276 5177
CONTACT NAME= JOE HAUSKEN PHONE NUMBER= 509 276 5177
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
a
******************************* BUILDING PERMIT****,r*******,r******************
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
RE -ROOF R-3 VN 4500.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 86.25
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 18.98
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 96005919 APPLICATION DATE= 07/25/96 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 109.73 .00 109.73
109.73
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 109.73
******************************** THANK YOU****************,r*,t*s***************
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
120(3 12c1S M &—)
Legal description as it appears on the property deed
r.IERor OCCUPANT)
.L, sMu� SMl71 peaP7Es
Phone
4B 6,238
ng address City, state
N, /o At1571i SPo K W71
Who should we contact regarding this project?
Zip
-f'208
Phone
2'La 5/V1
What work is being done under this permit?
TTZ 'aED R F5 c EXI S 4 RAT RooF CA-gfiexE5
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/
Manufactured Home
What is the coat of your project/
Si
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
Paint booth Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Feet :Storage' Tanks.
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
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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