1994, 03-21 Permit App: 94002263 Addition PROJECT NUMBER= 94002263 APPLICATION DATE= 03/21/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 16315 E RICH AVE PARCEL#= 45011.0105
ADDRESS= SPOKANE WA 99216
PERMIT USE= DINING ROOM ADDITION
PLAT#= 000723 PLAT NAME= ELLER'S ADD
BLOCK= 1 LOT= 5 ZOiE= UR 3.5 DIST#= H
AREA= 00000000 F/A= F WID H= 127 DEPTH= 142 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 ' ATER DIST =
OWNER= SALLE, BERTIE PHONE= 509 926 9358
STREET= 16315 E RICH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ROBERT SALLEE PHONE NUMBER= 509 926 9358
BUILDING SETBACKS: FRONT= 40 LEFT= NA R GHT= 8 REAR= 50
****************************** REVIEW *****************************
DEPARTMENT REVIEW REQUIREMENT
Y
BUILDING PLAN REVIEW REQUIRED -
COMMENTS:
- 14BUILDING SETBACK REVIEW REQUIRED
. (74
-
COMMENTS: p.
******************************* BUILDING PE IT *******************************
CONTRACTOR=OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 8 X 12 SQ FT= 96 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQIT VALUATION
RES ADD R-3 VN 6 4032 . 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 72 .00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 12. 96
Y
PROJECT NUMBER= 94002263 APPLICPITION DATE= 03/21/94 PAGE= 02
PERMIT TYPE FEE AMOUNT j AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 89. 46 ', . 00 89. 46
89. 46 .00 89. 46
PROCESSED BY: JOHN LARSON
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
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APPLICATION WORKSHEET
General Information
Job address Parcel number
I‘ ‘R. ICA\ S J' kc..V‘G.. Luck ck
O(6 41 - n t o 5
Owner Phone
t�,2t2.'f 1 fr , 'SJ}t tee-
Mailingaddress
City State Zip
('OV \A er w� 9 q a-1 b
Site Information
Legal Description
G„oT r1 t, S It.efLS Aridttio`^ .
Property size , Water District Number of: Dwellings Buildings
t11 ) 14Z�
Zone LflspectoM i:: :`fROjdWidth
Project Information
Permit Use / New Addition Remodel Change of use 11
`tevr1.4tV To R.A.A. 43)(12 To DiotIUG k#t_i X
Building Information
Dwelling units Occupant load Building height Stories
Building dimensions Total square footage Req'd parting Handicap parking Sprinkler system Critical Material
S�q9 ware footage breakdown Heatin_and insulation information R—values
Ma in To
Uncovered/covered deck 'eat source
� EssuX, f2.crb A .
Second door Other 11.11.11.1111 „ve graa wa
Finished basement • gra ewa a,on gra,e
Unfinished basement
Garage 'o 0 oor area
Contractor Information
Building contractor Plumbing contractor
License number Phone icense number Phone
Mailing address Mailing address
City,state,zip City,state,zip
Heating contractor Other/Lender
License number Phone License number Phone
Mailing address piing address
-City,slate,zip testate,zip
PROJECT CONTACT PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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