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1998, 01-30 Permit App: 98000638 Relocate Residence PROJECT NUMBER= 98000638 APPLICATION DATE= 01/30/98 PAGE= 01 PROJECT NUMBER= 98000638 APPLICATION DATE= 01/30/98 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 822 S PROGRESS RD PARCEL#= 45234 . 0421 ADDRESS= VERADALE WA 99037 PERMIT USE= RELOCATION OF RESIDENCE & BASEMENT PLAT#= 005595 PLAT NAME= SP-960-94 BLOCK= LOT= 4 ZONE= UR 3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= 84 DEPTH= 231 R/W= 40 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA OWNER= BREITHAUPT, PATRICIA PHONE= 509 467 3222 STREET= POB 30664 ADDRESS= VERADALE WA 99037 CONTACT NAME= PATTY BREITHAUPT PHONE NUMBER= 509 879 4754 BUILDING SETBACKS: FRONT= 100 LEFT= 22 RIGHT= 28 REAR= 100 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED APPROVAL: J LARSON //1 DATE: 01/30/98 BUILDING SETBACK REVIEW REQUIRED APPROVAL: J LARSON DATE: 01/30/98 BUILDING SEWER PERMIT PENDING APPROVAL: 98-639 DATE: 01/30/98 BUILDING PRE—RELOCATION INSPECTION COMMENTS: ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE 1,c3® rikiA34 � 3-y`: COMMENTS: ******************************* BUILDING PERMIT ******************************* CONTRACTOR= A & A HOUSE MOVING PHONE= 509 467 3222 STREET= PO BOX 30664 ADDRESS= SPOKANE WA 99223 NEW= X REMODEL= ADDITION= CHANGE OF USE= PROJECT NUMBER= 98000638 APPLICATION DATE= 01/30/98 PAGE= 02 DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 17 STORIES= 1 BLDG W X D = 30 X 39 SQ FT= 1170 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 1170 13525. 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 213. 00 RESIDENTIAL SURCHARGE Y 46. 86 STATE SURCHARGE Y 4 . 50 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= A & A HOUSE MOVING PHONE= 509 467 3222 STREET= PO BOX 30664 ADDRESS= SPOKANE WA 99223 ITEM DESCRIPTION QUANTITY FEE AMOUNT GAS APPLIANCE<=100, 000BTU 1 12 . 00 GAS WATER HEATER 1 10. 00 GAS PIPING 2 2 . 00 ******************************* RELOCATION PERMIT ***************************** CONTRACTOR= A & A HOUSE MOVING PHONE= 509 467 3222 STREET= PO BOX 30664 ADDRESS= SPOKANE WA 99223 PREVIOUS ADDRESS: STREET= 12407 E BROADWAY AVE ADDRESS= SPOKANE WA 99204 ITEM DESCRIPTION QUANTITY FEE AMOUNT RELOCATION INSPECTION 1 50. 00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= A & A HOUSE MOVING PHONE= 509 467 3222 STREET= PO BOX 30664 ADDRESS= SPOKANE WA 99223 ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS/BIDETS 1 6. 00 TUBS 1 6. 00 SHOWERS 1 6. 00 SINKS 2 12 . 00 DISH WASHERS 1 6. 00 FLOOR DRAINS 1 6. 00 WATER USING DEVICES 2 12 . 00 PROJECT NUMBER= 98000638 APPLICATION DATE= 01/30/98 PAGE= 03 PROJECT NUMBER= 98000638 APPLICATION DATE= 01/30/98 PAGE= 01 PROJECT-NUMBER= 98000638 APPLICATION DATE= 01/30/98 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 822 S PROGRESS RD PARCEL#= 45234 . 0421 ADDRESS= VERADALE WA 99037 PERMIT USE= RELOCATION OF RESIDENCE & BASEMENT PLAT#= 005595 PLAT NAME= SP-960-94 BLOCK= LOT= 4 ZONE= UR 3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= 84 DEPTH= 231 R/W= 40 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA OWNER= BREITHAUPT, PATRICIA PHONE= 509 467 3222 STREET= POB 30664 ADDRESS= VERADALE WA 99037 CONTACT NAME= PATTY BREITHAUPT PHONE NUMBER= 509 879 4754 BUILDING SETBACKS: FRONT= 100 LEFT= 22 RIGHT= 28 REAR= 100 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED APPROVAL: J LARSON DATE: 01/30/98 BUILDING SETBACK REVIEW REQUIRED APPROVAL: J LARSON DATE: 01/30/98 BUILDING SEWER PERMIT PENDING APPROVAL: 98-639 DATE: 01/30/98 BUILDING PRE-RELOCATION INSPECTION ♦� _� LAR COMMENTS: I., • - ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE COMMENTS: ******************************* BUILDING PERMIT ******************************* CONTRACTOR= A & A HOUSE MOVING PHONE 509 7 3: 2.2 STREET= PO BOX 30664 ADDRESS= SPOKANE WA 99223 NEW= X REMODEL= ADDITION= CHANGE OF USE= PROJECT NUMBER= 98000638 APPLICATION DATE= 01/30/98 PAGE= 02 DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 17 STORIES= 1 BLDG W X D = 30 X 39 SQ FT= 1170 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 1170 13525 . 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 213 . 00 RESIDENTIAL SURCHARGE Y 46. 86 STATE SURCHARGE Y 4 . 50 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= A & A HOUSE MOVING PHONE= 509 467 3222 STREET= PO BOX 30664 ADDRESS= SPOKANE WA 99223 ITEM DESCRIPTION QUANTITY FEE AMOUNT GAS APPLIANCE<=100, 000BTU 1 12 . 00 GAS WATER HEATER 1 10. 00 GAS PIPING 2 2 . 00 ******************************* RELOCATION PERMIT ***************************** CONTRACTOR= A & A HOUSE MOVING PHONE= 509 467 3222 STREET= PO BOX 30664 ADDRESS= SPOKANE WA 99223 PREVIOUS ADDRESS: STREET= 12407 E BROADWAY AVE ADDRESS= SPOKANE WA 99204 ITEM DESCRIPTION QUANTITY FEE AMOUNT RELOCATION INSPECTION 1 50. 00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= A & A HOUSE MOVING PHONE= 509 467 3222 STREET= PO BOX 30664 ADDRESS= SPOKANE WA 99223 ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS/BIDETS 1 6.00 TUBS 1 6. 00 SHOWERS 1 6. 00 SINKS 2 12 .00 DISH WASHERS 1 6. 00 FLOOR DRAINS 1 6. 00 WATER USING DEVICES 2 12 . 00 PROJECT NUMBER= 98000638 APPLICATION DATE= 01/30/98 PAGE= 03 r2 APPLICATION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? 3 Legal description as it ap ears on the Operty deed VI:U(7NT Phone Q ccoc7 22_? i g aad�dres �/ ` City,state Zip 1 o hould contact r ing this prof t? ,J Phone • 5 o — e-/? ce-i What wor is being done under this 'ermit? J-C ..one Ins ec.or istn Property size Right of way width N a) Water district a Q Building Building height #of stories Ltir Contractor Dimensions TOTAL SQUARE FOOTAGE ?o ,y 3' WA State Contractor license# Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks,etc. What is the heat source? What is the cost of your project? Manufactured Home Sign Width: Length: What is the square footage of How high is the sign? the sign face? Year: Make: Installer Contractor Wa State Contractor license it Wa State Contractor license# Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler _ Tent 216 7 -E Paint booth_ Fire Alarm _ Fireworks display /9I9 /%4,/, G 6 VALUE Cont cto ) Contractor WA State Con ractor license# WA State Contractor license# Milfares � �� / LS IP �/ �n'�ailing address Ott 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 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. Site Plan miti* diP L • 1 10 11 ;I 1 A II li r ,, 1111 . !I l'1 01 tr. - , AI a.. S' 1 1.1 . ' Zi NE RcAl WI IT 1111II . . R:VIE E I B • �r%CliMNI EN S: INN !�"� ...._-� V INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments 0 Underground utilities ❑ Distances from center of roads, right of ways, 0 North arrow private roads & property lines 0 Septic tanks & wells O All existing & proposed buildings