1995, 08-23 Permit App: 95006616 AdditionPROJECT NUMBER= 95006616 APPLICATION DATE= 08/23/95
PAGE= 01
' ****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 9704 E SHANNON AVE PARCEL#= 45083.0144
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE ADDITION ONTO EXISTING BEDROOMS
PLAT#= 002357 PLAT NAME= SHANNON ACRES SUB
BLOCK= 3 LOT= 3 ZONE= UR 3.5 DIST#=
AREA= 00000000 F/A= F WIDTH= 145 DEPTH=
# OF BLDGS= # DWELLINGS= WATER DIST =
OWNER= FROSTAD, JOHN
STREET= 9704 E SHANNON AVE
ADDRESS= SPOKANE WA 99206
E
85 R/W= 50
PHONE= 509 924 8987
CONTACT NAME= JOHN FROSTAD PHONE NUMBER= 509 924 8987
BUILDING SETBACKS: FRONT= 25 LEFT= 5 RIGHT= NA REAR= 25
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J LARSON DATE: 08/23/95
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J LARSON
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
DATE: 08/23/95
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
10 X 24 SQ FT=
#HANDICAP=
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 12 STORIES= 1
240 SPRINKLER= N
CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT
RES ADD R-3 VN 240
VALUATION
13920.00
PROJECT NUMBER= 95006616 APPLICATION DATE= 08/23/95, PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 153.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 27.54
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 185.04 .00 185.04
185.04
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 185.04
******************************** THANK YOU ************************************
N
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
990 yam' Jr1AAddcft.,
/x.5-0 83
Legal description as it appears on the property deed //
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OWNER or OCCUPANT
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Mailing ad ress
City, state
Phone
Zip
Who should we contact regarding this project?
Phone
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What work is being done under this permit?
^
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B
Contractor
Building height
r
Dimensions
/D , L
# of stories
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Mailing address
Main floor area
'2nd floor area
Unfinished basement area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project7q
0 G G'
Man
ufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler _
Paint booth _ Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
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.
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells