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1993, 05-28 Permit App: 93004091 Reroof, RemodelPROJECT NUMBER= 93004091 APPLICATION DATE= 05/28/93 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 514 N MOORE ST PARCEL#= 45133.2002 ADDRESS= VERADALE WA 99037 PERMIT USE= RE -ROOF, FINISH BASEMENT & FINISH BATHROOM PLAT#= 000900 PLAT NAME= FRISKE SUB. TR.18 OF VERA BLOCK= 4 LOT= 2 ZONE= UR -7 DIST#= F AREA= F/A= WIDTH= DEPTH= R/W= # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= BOGGS, MELVIN G. PHONE= 509 922 2129 STREET= 113 N MCCABES RD ADDRESS= SPOKANE WA 99216 CONTACT NAME= MELVIN BOGGS PHONE NUMBER= 509 922 2129 BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT ------------------------------------------------------------------------ BUILDING PLAN REVIEW REQUIRED COMMENTS: J" ��- ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= REMODEL= X ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1 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 2500.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- ---------- RESIDENTIAL VALUATION Y 54.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 9.72 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= OWNER PHONE= PROJECT NUMBER= 93004091 APPLICATION DATE= 05/28/93 PAGE= 02 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- TOILETS/BIDETS -------- 1 ---------- 6.00 SINKS 1 6.00 TUBS 1 6.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ---------------------------- BUILDING PERMIT ------------ 68.22 .00 ------------- 68.22 PLUMBING PERMIT 18.00 .00 18.00 ------------- ------------ 86.22 .00 ------------- 86.22 PROCESSED BY: DOMITROVICH, ROBIN PRINTED BY: DOMITROVICH, ROBIN ******************************** THANK YOU ************************************ qcM I APPLICATION WORKSHEET General Information �2 t5 51"Z {� 'q one caner j 3_ atmga rens / � State t Site Information Project Information U��� tai — Z�-:)t)o Buil e mg um s u oa_ � w mg mgt tortes / w tng dimensions ^ o a square age eq7 Wr' ng Kap parkaing rays em tca a n mks a basenwa� `l / stage oa wt ow arca care foots a breakdown ea source -- -2 am r irwve cove ee on ooh er oris a asemen on gra e n mks a basenwa� `l / stage oa wt ow arca Contractor Information Heat' I Ind insirlatioa information R—values ea source -- -2 cc Va tet ng ove gta a wa ow gra a wa s a .zip on gra e r u—va ue ow urate ellwency oa wt ow arca o rarea mg can c Plumbing con or a License number ne num r at ung a rens rensuy, s a .zip ,te, zip Heating contractor Ol r er License number one icense number one alinga rest attnga rens ity, s ate, zip MOOMMOMMIN y, stat' zip Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 JOB STREET ADI CITY/STATE/�)P: OWNER:._ MAILING ADDRE PLUMBING, PERMIT APPLICATION FORM (Street) Information Worksheet PARCEL NUMBER: PHONE NUMBER: (City/State) CONTRACTOR: LICENSE NUMBER: MAILING ADDRESS: DESCRIPTION (Street) PHONE NUMBER: (City/State) PLUMBING WORKSHEET/FEE SCHEDULE TOILETS SHOWERS KITCHEN SINKS .................... X.. .......... GARBAGE DISPOSAL gg, UTILITY SINKS A; .......... 0 ... .. ... ................ j. 669DRAINS I '**A FLI N BAR SINKS . . . . . . . .... LAWN SPRINKLER —FOR EACH BACKFLOW ICE WATER SOFTENER DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE#&a.&i (Zip) (Zip) NUMBER OF UNITS XEACH UNIT =AMOUNT x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.04 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 x 6.00 = x 6.00 = x 6.00 = x 6.00 x 6.00 x 6.00 = x 6.00 = SUBTOTAL $ PLUS: PROCESSING FEE +$ 25.00 EQUALS: TOTAL PERMIT 7 FEE DUE =$ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675