1997, 08-05 Permit App: 97005799 RemodelPROJECT N$MBtR= 97005799
PROJECT NUMBER= 97005799
APPLICATION
APPLICATION
DATE= 08/05/97
DATE= 08/05/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=
ADDRESS=
PERMIT USE=
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
7519 E MARIETTA AVE PARCEL#= 45072.1115
SPOKANE WA 99212
CHANGE OUT WINDOWS, DOORS, NEW BATH ROOM
000716
11
00000000
1 #
PLAT NAME= ELECTRIC RAILWAY SUBURBAN
LOT= 7 ZONE= UR -3.5 DIST#=
F/A= F WIDTH= DEPTH=
DWELLINGS= 1 WATER DIST =
OWNER= HOOLEY, DOROTHY
STREET= 7519 E MARIETTA AVE
ADDRESS= SPOKANE WA 99212
HOME
F
R/W=
PHONE= 509 927 7322
CONTACT NAME= JIM ADAMS PHONE NUMBER= 509 921 5680
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************
DEPARTMENT
BUILDING
REVIEW INFORMATION *****************************
REVIEW REQUIREMENT
PLAN REVIEW REQUIRED
APPROVAL: J LARSON
DATE: 08/05/97
******************************* BUILDING PERMIT *******************************
CONTRACTOR=
STREET=
ADDRESS=
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
ADAMS WOODWORKING & CONST.
POB 1371
VERADALE WA 9999037
REMODEL= X
1 OCCUP. LD=
X SQ FT=
#HANDICAP=
PHONE= 509 926 1393
ADDITION= CHANGE OF USE=
BLDG HGT= STORIES=
SPRINKLER= N
CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 22000.00
ITEM DESCRIPTION
RESIDENTIAL VALUATION
RESIDENTIAL SURCHARGE
STATE SURCHARGE
QUANTITY FEE AMOUNT
Y
Y
Y
313.00
68.86
4.50
PROJECT NUMBER= 97005799 APPLICATION DATE= 08/05/97 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
VENTILATING FANS
PHONE=
QUANTITY FEE AMOUNT
1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= SCHMADEKA ENTERPRISES
STREET= 4301 N RAMSEY RD D29
ADDRESS= COEUR D ALENE ID 83814
ITEM DESCRIPTION
TOILETS/BIDETS
TUBS
SINKS
CLOTHES WASHER
FLOOR DRAINS
SEWAGE EJECTOR
PHONE= 208 664 4621
QUANTITY FEE AMOUNT
1 6.00
1 6.00
2 12.00
1 6.00
1 6.00
1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
386.36 .00 386.36
10.00 .00 10.00
42.00 .00 42.00
438.36
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 438.36
******************************** THANK YOU ************************************
Department of Labor & Industries
Contractor Registration Section
PO Box 44450
Olympia WA 98504-4450
/ To
REGISTRATION VERIFICATION' '
TEMPORARY
(360) 902-5226
FAX (360) 902-5228
From
Olympia Headquarters
O
Regis name 100(d
1 1 s &�i�rl�/
Regtstr�tt��rnbeCr � � Registration expires
��11s lam/"fC�'C/'/ J 1�•
Contractor: Your Certificate of Registration will be sent from the Olympia office and
should be received within 2 to 3 weeks. Please keep this record until you receive your
Certificate of Registration.
(Receipt expi
9%9?
F625-036-000 registration verification 2-95
'Thank9