1995, 11-21 Permit App: 95009769 ReroofPROJECT NUMBER= 95009769 APPLICATION DATE= 11/21/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 607 S MCDONALD RD PARCEL#= 45221.0914
ADDRESS= SPOKANE WA 99216
PERMIT USE= REROOF RESIDENCE
PLAT#= 000279. PLAT NAME= BURCHELL ADD.
BLOCK= 1 LOT= 1 ZONE= AGRI DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= CHANEY, NORMA
STREET= 607 S MCDONALD RD
ADDRESS= SPOKANE WA 99216
PHONE= 509 924 1191
CONTACT NAME= BRODIE HOFFMAN PHONE NUMBER= 509 891 8655
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION ******+*********************•
DEPARTMENT REVIEW REQUIREMENT
BUILDING CONTRACTOR VERIFICATION
COMMENTS:
******************************* BUILDING PERMIT **+***********************+****
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 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
REROOF R-3 VN 2900.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 54.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 11.34
•
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
2
PROJECT NUMBER= 95009769 APPLICATION'
PERMIT TYPE
DATE= 11/21/95 PAGE= 02
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 69.84 .00 69.84
69.84
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 69.84
**************************** **** THANK YOU**********************************t*
APPLICATION,INFORMATION
'What is the JOB
BBjSITE address?
'607 ///1�10,va/C/
ASSESSOR'S tax parcel number?
Legal descnption as it appears on the property deed
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OWNER or OCCUPANNT/ /
/ 0/444 CAa,ve7
gPhone /
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Mailing address
s 667 M %veP
City, state Zip
' e wf1 9�a/�
Who sho� ie conta3c�t regarding,this o t?
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/ Phone
/5b9) 89/ 965-5--
65What
Whatwork is being done under this permit?
Lone • .
Inspector district ..
Property size
Hight of Way vadth „
Water district
Building --Building
height _ ,
S
# of storiesA
Contractor
''';,175',/
Dimensions
TOTAL SQUARE FOOTAGE
WA StateataContractor license #
y«/rossdti
Main floor area
Unfinished basement area
Mailing address
/55-20-2721d/flia/fr S/ 54_2
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
Whet is the heat source?
What is the cost of youuroject7�D/, 1, -1
��X7 (J UU
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
Mailing address
Relocation ..:::°
FireSafet _
Previous address
Fire Spnnkler 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 Pool
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
L
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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,REGISTERED AS.PRDVIDEDRY;IAW AS A
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. °r,KANE?WA 1-9.32,16
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SIGNATURE
ISSUED BY DEPARTMENT OF LAB
AND INDUSTRIES