1993, 08-30 Permit App: 93007658 Residence Addition _7(9
APPLICATION WORKSHEET
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Project Information
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Building Information `
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PROJECT CONTACT Dilttz. 421zifle Q ritoc2/_ y iiZ /Ici3 - 3
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
PROJECT NUMBER= 93007658 APPLICATION DATE= 08/30/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 912 S OBERLIN RD PARCEL#= 45204 .1103
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE ADDITION
PLAT#= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= LOT= ZONE= AGSUB DIST#= E
AREA= F/A= F WIDTH= 50 DEPTH= 150 R/W=
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= PATTERSON, MARGARET M PHONE= 509 928 6232
STREET= 912 S OBERLIN RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= BERARD & SONS CONSTRUCTION PHONE NUMBER= 509 927 9412
BUILDING SETBACKS: FRONT= NA LEFT= 26 RIGHT= 8A REAR= 78
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED Z!L rip
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= BERARD & SONS CONSTRUCTION PHONE= 509 927 9412
STREET= 13912 E 9TH CT
ADDRESS= VERADALE WA 99037
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 14 X 16 SQ FT= 224 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 224 11400. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 135.00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 24 .30
RADON MONITOR 1 12 .57
SALES TAX 1 1.01
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 93007658 APPLICATION DATE= 08/30/93 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 177.38 .00 177.38
177.38 .00 177.38
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
******************************** THANK YOU ************************************
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APPROVED PLAN
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COMMENTS:
REVIEWED BY
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REGISTERED AS PROVIDED BY LAW AS A:
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REGISTRATION NUMBER ..
EXPIRATION. DATE.
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.9$116/ 4
EFF ;CTIVf DT;T.L,O4/23/40
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E: 13912 9TH CT
V RADAt_E
NA 9/c37
SIGNATURE
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES