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1994, 06-16 Permit App: 94005610 Safety InspectionPROJECT NUMBER= 94005610 APPL•ICATON DATE= 06/16/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 12017 E MANSFIELD AVE PARCEL#= 45094.0435 ADDRESS= SPOKANE WA 99206 PERMIT USE= SAFETY INSPECTION PLAT#= BLOCK= AREA= # OF BLDGS= 002018 33 00000000 PLAT NAME= PINECROFT LOT= ZONE= UR -22 DIST#= F/A= A WIDTH= DEPTH= DWELLINGS= WATER DIST = UNKNOWN OWNER= BET, ED FAMILY TRUST STREET= 6514 STONE LODGE A ADDRESS= NINE MILE FALLS WA 99026 H R/W= PHONE= 509 276 5177 CONTACT NAME= ZOE HAUSKEN PHONE NUMBER= 509 276 5177 BUILDING SETBACKS: FRONT= UNK LEFT= UNK RIGHT= UNK REAR= UNK ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING REVIEW COORDINATOR - B BENISH COMMENTS: ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER NEW= DWELL UNITS= BLDG W X D = REQ PARKING= REMODEL= X 2 OCCUP. LD= X SQ FT= #HANDICAP= ITEM DESCRIPTION CHANGE OF USE/SAFETY INSP PERMIT TYPE FEE AMOUNT BUILDING PERMIT 50.00 50.00 PROCESSED BY: CAROL BRADBURN PRINTED BY: CAROL BRADBURN PHONE= ADDITION= CHANGE OF USE= BLDG HGT= STORIES= SPRINKLER= N CRITICAL MAT= N QUANTITY Y FEE AMOUNT 50.00 AMOUNT PAID AMOUNT OWING .00 .00 50.00 50.00 ******************************** THANK YOU ************************************ APPLICATION WORKSHEET L General Information ob address L 12a/7 / Iz a l % >t -_— ra number owner D Willing address SPP, kai"c City Phonc TSG Stale V. 7't' � 72 - -I Site Information Legal Description Property size Water District Inspector 7/NS 171 Number of: Road width Dwellings puddings Project Information Permit Use,.,% X 0 e P.E-cDA.lsradc /D,,///©✓4ii/ New I Addition Remodel Change of use i Ua rage ornate e ieenry ota wm`owarea MEM Building Information Dwelling units Occupant load Building height Stores , Building dimensions a7 ?C -3 total square footage Req'd parking Handicap parking Spnnklersystem CnticalMalenal Ua rage ornate e ieenry Square footage breakdown Main floor Uncovered /covered deck Second Iloor Other 1•rnished basement Phone Unfinished basement a .. iiiiIIIMI Ua rage ornate e ieenry Contractor Information Heatin. and mutation information R—values eat source t cei mg Plumbing contractor License number Miliniallr. Phone iiii a .. iiiiIIIMI ornate e ieenry ota wm`owarea MEM Building contractor ,GJN Plumbing contractor License number Phone License number Mailing address Mailing address City, state, zip City, state, zip Heating contractor /A'License Other / Leader number Phone License number Mailing address Mailing address City, state, zip City. state. zip PROJECT CONTACT PIT Spokane County Division of Bi 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 n .j Qye, } it err., i L p 2 / /r i r c ✓cn 1-0-.) 6'S pA' il' C 3 Vet. 7 flop c61,11', /eJe C Dice t r i tr./ rSPa/, s necPssa/y a:74— eel feea/ /-1a4 ,ecnes