1995, 05-19 Permit App: 95003446 GaragePROJECT NUMBER= 95003446
******
APO'fICATION
THIS IS NOT A PERMIT
DATE= 05/19/95
******
PAGE= 01
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12821 E MAXWELL AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= CONVERT CARPORT TO GARAGE
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
PARCEL#= 45152.0310
001880 PLAT NAME= OWENS SUB
3 LOT= 10 ZONE= UR 3.5 DIST#= F
00000000 F/A= F WIDTH= 74 DEPTH= 140 R/W= 50
# DWELLINGS= 1 WATER DIST = UNKNOWN
OWNER= CROSBY, EDWARD
STREET= 12821 E MAXWELL AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 891 1967
CONTACT NAME= EDWARD CROSBY PHONE NUMBER= 509 891 1967
BUILDING SETBACKS: FRONT= 30 LEFT= EXIS RIGHT= 25 REAR= 50+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
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******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL= X
1 OCCUP. LD=
X SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE SQ FT
GARAGE
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ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
PHONE=
ADDITION= CHANGE OF USE=
BLDG HGT= STORIES=
SPRINKLER= N
CRITICAL MAT= N
VALUATION
1500.00
QUANTITY FEE AMOUNT
Y
Y
Y
35.00
4.50
6.30
PROJECT NUMBER= 95003446 APPLICATION DATE= 05/19/95 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 45.80 .00 45.80
45.80
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 45.80
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
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Legal description as it appears on the property deed
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OWNER or OCCUPANT Phone CsaeTr ec / - / Y G. -
E t uJ Lp Ctataspev)
Mailing address City, state Zip
P < (2-432-1 AA LA.)w L` 5frote4a.tic r c.V4- 99a-140
Who should we contact regarding this project? Phone
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What work is being done under this permit?
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Lone" '.:,.,:. • •••• •
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Inspector distnct
Property size
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Hight of way width
gyp,,
Water district
Building:',:.:::.„.„.,.r':"'
Building height
#of stones
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
and floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign.,'' ..:...::
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
We State Contractor license #
Mailing address
Meiling address - -
i.
Relocation
Fire Safety
Previous address
Fire Sprinlder Tent
_
Paint booth _ Fire Alarm _ Fireworks display
VALUE
Contractor
-
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel STorage Tanks
Swimming P061
(Circle one) Above -ground Underground
Size / gallon°
Private
Contents of tank(s)
Size / gallons
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 programa or activities.
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