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1995, 04-12 Permit App: 95002281 AdditionPROJECT NUMBER= 95002281 A.PLICAZ"ION DATE= 04/12/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 1511 S MICA PARK DR PARCEL#= 45203.1809 ADDRESS= SPOKANE WA 99206 PERMIT USE= RESIDENCE ADDITION - BEDROOM & DINING ROOM PLAT#= 003150 PLAT NAME= MICA PARK AND AMENDED BLOCK= 2 LOT= 9 ZONE= UR -3.5 DIST#= E AREA= 00000000 F/A= F WIDTH= 87 DEPTH= 115 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= ASKINS, BOB STREET= 1511 S MICA PARK DR ADDRESS= SPOKANE WA 99206 PHONE= 509 922 8363 CONTACT NAME= BOB ASKINS PHONE NUMBER= 509 534 1030 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= 42 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRED COMMENTS: HEALTHDIST INCREASE IN LOT COVERAGE COMMENTS: zNa-c7 ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER NEW= DWELL UNITS= BLDG W X D = REQ PARKING= REMODEL= 1 OCCUP. LD= 12 X 13 SQ FT= #HANDICAP= PHONE= ADDITION= X CHANGE OF USE= BLDG HGT= 18 STORIES= 1 412 SPRINKLER= N CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT BASEMENT F DECK RES ADD R-3 VN 156 R-3 VN 52 R-3 VN 156 VALUATION 2340.00 364.00 9048.00 PROJECT NUMBER= 95002281 APPLICATION' DATE= 04/12/95 PAGE= 02 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 135.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 24.30 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 163.80 .00 163.80 163.80 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO .00 163.80 ******************************** THANK YOU ************************************ d 0 4A,3 APFLICATION INFORMATION 111,(hat is the JOB SITE address? ASSESSOR'S tax parcel number? s' 1 5/ / /77/c4 ,D/92 .6/?i u Legal description as it appears on the property deed G or 43‘...04,4e Z D/G in E 4.4 i he it A 42Ao1 r> a •t/ !13 Pele (PST 7 -7 -roe Eo ,z G e,02 tie -0 //V Uoc. /d/ / e'S"' Phone OWNER or OCCUPANT /?/3627 D. dSiz /mss S /S / / nit G ,. P. is D/P r v lin address City, state Zip Mai g .�. /,S / /'y%60- P">"K Qt/ vim' J,o°e..ip /cs', Ga* Who should we contact regarding this project? ri .S Lt. , nt S Phone 792,E What work is being done under this permit? D/v T a vyr_y Q wftJ ,es,'OE4J e.g." • sV-/6so Inspector district Building Building height S # of stories Contractor , u„..31 L. L m► deo,jTte,4 c -r o t2 Dimensions /ZX /3 TOTAL SQUARE FOOTAGE 4/2 WA State Contractor license # Mailing address S, /S// /77/C.04- "WC- 02/ v Main floor area /,?/(/3 /534, 2nd floor area 101110 Unfinished basement area Finished basement area Architect/Engineer 1 D/ -D )Y1y aw►J DeAw fu(a S Garage area Size of decks, etc. SZ What is the heat source? G\ A What is the cost of ypur project? 1/S,aeo 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 # Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler _ Paint booth Fire Alarm Tent Fireworks display _ VALU E Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Fuel 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. cn 7 Y 0 - n • S S' 8' AOC t1 (C G C77- as, 5. ISii MICA PARK 1✓R:YE 5Qo1.44N1=, v/Pcze-4 t K%c.; oT-1 5 t T E PLA cl ScATLE I" Zo' ADDRESS:`"'' j' ZONE: i ROAD WIDTH: .52,0' FRONT: /1/c FLAN ING: COMMENTS: REVIEWED BY. ,-,S