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1997, 07-24 Permit App: 97005427 Residencetpri Up PROJECT NUMBER= 97005427 APPLICATION PROJECT NUMBER= 97005427 APPLICATION DAT DAT ****** THIS IS NOT A PERMIT ***** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT PAGE= 01 PAGE= 01 SITE STREET= 1908 S MOORE CT PARCEL#= 45252.9071PTN ADDRESS= VERADALE WA 99037 PERMIT USE= NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS PLAT#= BLOCK= AREA= # OF BLDGS= OWNER= STREET= ADDRESS= 005868 1 00013208 1 # PLAT NAME= RIDGEMONT ESTATES NORTH 7TH AD LOT= 3 ZONE= UR -3.5 DIST#= F F/A= F WIDTH= DEPTH= R/W= 50 DWELLINGS= 1 WATER DIST = VERA LANZCE DOUGLASS 1711 S SONORA ST VERADALE WA 99037 CONTACT NAME= LANZCE DOUGLASS BUILDING SETBACKS: FRONT= 25 LEFT= 10 PHONE= 509 483 6532 PHONE NUMBER= 509 483 6532 RIGHT= 8 REAR= 50 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: TAR --) -ac-7 BUILDING SETBACK REVIEW REQUIRED COMMENTS: BUILDING SEWER PERMIT PENDING ////.---COMMENTS:&)/ ENGINE A'P'OACH/FLOOD PLAIN/ CO ENTS: �, •kip �d© z,k s RAINAG el7 ****************************** BUILDING PERMIT ******************************* CONTRACTOR= DOUGLASS, LANZCE G STREET= 815 E ROSEWOOD AVE ADDRESS= SPOKANE WA 99208 NEW= X DWELL UNITS= BLDG WXD= REQ PARKING= REMODEL= OCCUP. LD= 64 X 52 SQ FT= #HANDICAP= PHONE= 509 483 6532 ADDITION= CHANGE OF USE= BLDG HGT= 15 STORIES= 1 2618 SPRINKLER= N CRITICAL MAT= N PROJECT NUMBER= 97005427 APPLICATION DESCRIPTION GROUP BASEMENT U DECK GARAGE RESIDENCE 2ND FLOOR R-3 R-3 U-1 R-3 R-3 ITEM DESCRIPTION TYPE SQ FT VN VN VN VN VN RESIDENTIAL VALUATION RESIDENTIAL SURCHARGE STATE SURCHARGE 588 120 745 1309 721 DATE= 07/24/97 VALUATION 6468.00 840.00 8940.00 77231.00 42539.00 QUANTITY FEE AMOUNT Y Y Y 1080.00 237.60 4.50 PAGE= 02 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= COMFORT MECHANICAL CONT. STREET= 310 N FLORA RD ADDRESS= GREENACRES WA 99016 ITEM DESCRIPTION GAS APPLIANCE<=100,000BTU GAS LOG OR GAS INSERT RANGE CLOTHES DRYER GAS WATER HEATER GAS PIPING VENTILATING FANS PHONE= 509 928 0207 QUANTITY FEE AMOUNT 1 1 1 1 1 5 3 12.00 10.00 10.00 10.00 10.00 5.00 30.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= GOLD SEAL MECHANICAL INC STREET= 5524 E BOONE AVE ADDRESS= SPOKANE WA 99212 ITEM DESCRIPTION TOILETS/BIDETS TUBS SHOWERS SINKS DISH WASHERS CLOTHES WASHER GARBAGE DISPOSAL WATER USING DEVICES PERMIT TYPE FEE AMOUNT BUILDING PERMIT MECHANICAL PRMT PLUMBING PERMIT 1322.10 87.00 96.00 1505.10 PROCESSED BY: CHRISTY HARGRAVE PRINTED BY: CHRISTY HARGRAVE PHONE= 509 535 5944 QUANTITY FEE AMOUNT 3 2 1 4 1 1 1 3 18.00 12.00 6.00 24.00 6.00 6.00 6.00 18.00 AMOUNT PAID AMOUNT OWING .00 . 00 .00 PROJECT NUMBER= 97005427 APPLICATION . 00 1322.10 87.00 96.00 1505.10 8 D 6-d 0 16 lb oe 6-6 DATE= : 24/97 PAGE= 03 Zr �I I / 1 331 tncc /,•(. / ADDRESS \c--,‘, O8 S . ZONE L-' S ROAD WIDTH So FRONT a5 __FLANKING N \'F\ COMMENTS _ _.._.. REVIEWED? BY C- ��x- ecu - Spokane County 1iiyision of Utilities SEWER CONNECTION PERMIT APPLICATION FORM ck sV�Z- LcA PLEASE NOTE: This application form must be filled out accurately and in its entirety, and signed, or a permit will not be issued. Also note that sewer permits are valid for 12 months from the date of issuance. No extensions will be granted. PROJECT INFORMATION Job address: Dry Line Sewer? (Y Owner's name: Lanzce G. Douglass, Inc. City: Spokane , WA ▪ kC Zip: iC2-Z Parcel number(ifknown): City/State: Spokane , WA Zip: 99�0R Phone: 509-483-6532 First-time contractors or home -owners performing the installation must first contact the utilities department (in person or via phone [456-3604]) before a permit can be issued. Name of Utilities Division person contacted: CONTRACTOR INFORMATION Contractor (company name): Cannon Excavating State contractor license number: Business address: P.O. Box 28778 City/State: Spokane, WA Zip99208-8778 Phone: 509-467-6522 Contact Name: Kurt Cannon Phone: 994-3013 INTERIOR PLUMBING ALTERATIONS? (yes/no) cid.ono Fill out the information in the table below if applicable** Contractor (if different from above): Phone: Business Address: City/State/Zip: * * For plumbi,ag reversat dee ilt rinaho see reverae.side:of thrs form.:::::..: FEE? INFORMATION Sewer Connection: Number of Buildings I X( ,) MOO (per bldg) _ $ / TOTAL FEE • For a single-family residential unit, one permit is required • For a condominium, townhouse, duplex, triplex or fourplex with separate ownership (as determined by lot lines) separate address and separate stub, one permit is required per address per stub; • For a single building duplex, triplex or fourplex with single ownership, one permit is required • Multiple buildings (apartments, industrial complexes) with single ownership, one permit required per building connecting to the sewer. (For situations not covered here, call the County Division of Utilities a(Q 456-3604) APPLICANT SIGNATURE: Date: Return to: Spokane Coanrty Division of Baling er Plaaaiad Wert 1026 Breadwj Avenue "Spokane, Washington 99260 PHONE: (509) 456-3675 a FAX (509) 324-3198 * TDD: (509) 324-3166 Spoke. County don not atravrunatu on the bans of dtmtb,R In ttta adrnson w. or trammed or ernplo,mr tt I0. to ptogarnt or gamete. tytyn.*••••,w“.••,M