1994, 06-16 Permit App: 94005607 Safety InspectionPROJECT NUMBER= 94005607 APPLZCAT1`ON DATE= 06/16/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12021 E MANSFIELD AVE PARCEL#= 45094.0435
ADDRESS= SPOKANE WA 99206
PERMIT USE= SAFETY INSPECTION
PLAT#= 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= ED BET FAMILY TRUST
STREET= 6514 STONE LODGE A
ADDRESS= NINE MILE FALLS WA 99026
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 REQUIREMF NT
BUILDING BILL BENISH
COMMENTS:
////Yy-e
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 2 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
CHANGE OF USE/SAFETY INSP Y 50.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 50.00 .00 50.00
50.00
PROCESSED BY: CAROL BRADBURN
PRINTED BY: CAROL BRADBURN
.00 50.00
******************************** THANK YOU ************************************
Project Information
APPLICATION WORKSHEET
General Information
L, ob ai Iress
)2021 q' 42013 E'
--1 l'ar d number -
owner
iJfaihlig address
City
State
Phony
76 si 72
Site Information
1
Legal Description
staldfam-
Property size
Water District
Number oL
Dwellings Buildings
ray.
Inapector
Road width
Permit Use
KoriG
,C1-cd„ks- 7-/ 1 ti c r , 0„/ tpa ri..)(
New
I Addition
.
Remodel
Change or use
1
II ..
Req 'dparking
Handicap parking
Sprinkler system ZMatcJ
City, state, zip
Building Information 1
Dwelling units
Main floor
Occupant load
Building height
Other
Stores .
Building dimensionsiotalsquaretootage
/27X
-3 y.
II ..
Req 'dparking
Handicap parking
Sprinkler system ZMatcJ
City, state, zip
City. state, zip
square footage breakdown
Main floor
Uncovered /covered deck
Second l oor
Other
I-mished basement
Phone
Unfinished basement
II ..
-Garage
urnace a icency
Contractor Information
lo
Heatin. and insulation information R—valoea
' eat source
t cei mg
•
. • gra e Wit
Phone
on gra e
II ..
'
urnace a icency
Building contractor
,`��
contractor
License number
Phone
License number
Mailing address
Mailing address
City, state, zip
City. state, zip
Heating contractor
Ai •
/A'License
Other / Lender
-License
number
Phone
number
Mailing address
-Mailing address
City, state, zip
City, state, zip
(PROJECT CONTACT J
,4 s CO,✓
r
cele, y
e/o/ /.,,5/46C-444.
/ rAlfc-
001 !•t5 'se c C.5 R¢
Cw.tit. /eJe/c/ eJl 00 k'ees
x76'-5/77 l)
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675