1994, 06-16 Permit App: 94005614 Reconstruction, Reroof.
PROJECT NUMBER= 94005614 APPLICATION
DATE= 06/16/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12119 E MANSFIELD AVE PARCEL#= 45094.0435
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE-CONSTRUCTION/RE-ROOF OF DUPLEX
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 REQUIREMENT
BUILDING REVIEW COORDINATOR - B BENISH
COMMENTS:
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BUILDING PLAN REVIEW REQUIRED
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COMMENTS:
******************************* BUILDING PERMIT *******************************
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
REMODEL R-3 VN 4000.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 63.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 11.34
PROJECT NUMBER= 94005614 APPLICATION DATE= 06/16/94 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 78.84 .00 78.84
78.84
PROCESSED BY: CAROL BRADBURN
PRINTED BY: CAROL BRADBURN
.00 78.84
******************************** THANK YOU******************,t**,t*******,t******
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APPLICATION WORKSHEET
L General Information
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Occupant load
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budding dimensions
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total square [ootage
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Square footage breakdown
Main Iloor
Uncovered /covered deck
Second Iloor
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Contractor Information
Heatin. and insulation information R—values
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Heating contractor
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License number
License number
Phone
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Mailing address
City, state, zip
City, state, zip
PROJECT CONTACT
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675