1996, 07-25 Permit App: 96005920 Reconstruction Reroof GaragePROJECT NUMBER= 96005920 APPLICATION,; DATE= 07/25/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12109 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= 6514 STONE LODGE A
ADDRESS= NINE MILE FALLS WA 99026
PHONE= 509 276 5177
CONTACT NAME= JOE HAUSKEN PHONE NUMBER= 509 276 5177
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** * BUILD NG PERMIT ****** * ***** ** *************
CONTRACTOR= OWNER PHONE=
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL= X ADDITION= CHANGE OF USE=
OCCUP. LD= BLDG HGT= STORIES
X SQ FT= SPRINKLER= N
#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
BUILDING PERMIT 109.73 .00 109.73
109.73
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 109.73
******************************** THANK YOU ************************************
APPLICATION INFORMATION
\Nhat is the JOB SITE address? ASSESSORS tax parcel number?
121cq p 121/1 £, AMNSR&c-D
Legal description as it appears on the property deed
OW or OCCUPANT
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5N/714 all P2oP6rlEs
Phone
463 £ 2S
Maili address
City, state
Al. 771 i° AV577A) R.4 Po LJ4
Zip
/120 g
Who should we contact regarding this project?
Phone
2%, ST2'7
What work is being done under this permit?
TAZ pi Tct-f� aoFS °iv EX! 57rnrl LA god%
Right of way width
Contractor
Building height
Dimensions
# of stories
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 cost of your projeq'tlC_���/l
Sign
)c
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
Mailing address
Fuer `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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