1997, 03-17 Permit App: 97001414 Reroof, Handicap RampPROJECT NUMBER= 97001414 APPLICATION
PROJECT NUMBER= 97001414 APPLICATION
PENALTIES
DATE= 03/17/97
DATE= 03/17/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=
ADDRESS=
4219 N SILAS RD
SPOKANE WA 99216
PERMIT USE= RE -ROOF & HANDICAP RAMP
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
002678
00000000
1 #
PARCEL#= 45031.2909
PLAT NAME= TRENTWOOD ORCHARDS
LOT= ZONE= UR -3.5 DIST#=
F/A= F WIDTH= DEPTH=
DWELLINGS= 1 WATER DIST =
OWNER= PETERSON, MABEL
STREET= 4219 N SILAS RD
ADDRESS= SPOKANE WA 99216
H
R/W= 50
PHONE= 509 926 6488
CONTACT NAME= EARL ODGEN PHONE NUMBER= 509 891 1965
BUILDING SETBACKS: FRONT= UNK LEFT= EXIS RIGHT= EXIS REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING
COMMENTS:
ei
HEALTHDIST
4+ct-t44i., 3.17.97'
SETBACK REVIEW REQUIRED
orry
INCREASE IN LOT COVERAGE
vev-
COMMENTS:
Atd Ga/s.,y 3/l07
******************************* BUILDING PERMIT *******************************
CONTRACTOR= SPOKANE REMODELER'S
STREET= 4517 S SKIPWORTH ST
ADDRESS= SPOKANE WA 99206
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
DESCRIPTION
RAMP
RE -ROOF
REMODEL= X
OCCUP. LD=
X SQ FT=
#HANDICAP=
GROUP TYPE SQ FT
R-3 VN
R-3 VN
PHONE= 509 891 1965
ADDITION= X CHANGE OF USE=
BLDG HGT= STORIES=
SPRINKLER= N
CRITICAL MAT= N
VALUATION
300.00
900.00
PROJECT NUMBER= 97001414 APPLICATION DATE= 03/17/97 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 41.25
RESIDENTIAL SURCHARGE Y 9.08
STATE SURCHARGE Y 4.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 54.83 .00 54.83
54.83
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 54.83
******************************** THANK YOU ************************************
P/v
/4/-1/'- /0
L
SPOKANE COUNTY HEALTH DISTRICT
Environmental Health Division
West 1101 College, Spokane, WA 99201 (509) 324-1560
SEWAGE SYSTEM VERIFICATION FORM
Since our office does not have information on file showing the location and size of your
system, please provide the following information in order for us to review your proposal.
Project address:
Property ower:
/ayitt€,
Address:
C Icy
Phone:
Existing property use: osidential omulti-family
If a business, name and nature:
If a business, approximate metered water consumption:
Type of wastewater fixtures connected to sewage system(s):
/ toilets l showers/tub 2 sinks
car wash sprinkler system _hot tub/spa
dishwasher
LYS` YeS �`r� sG'
Year structure built: Year sewage system installed:
Number of bedrooms: (
Has existing sewage system(s) been reconstructed or repaired? DYes oNo
If yes, when: Reason:
gallons per
laundry
swimming pool
Location and size of the system: Please make or submit a drawing showing location, dimensions, and
measurements of your lot, structure, sewage system(s), water wells, waterline, driveways, direction "north",
etc. IDENTIFY WHAT IS DRAWN.
S
40 'xi
iJ
I certify that this information is true to the best of my knowledge.
Signature of the property owner
4/94
Date