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2001, 03-09 Permit App: 01001351 RemodelProject Number: 01001351 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/9/01 Page 1 of 2 Project Information: Permit Use: FINISH BASEMENT Setbacks: Front • Left: Right: Rear: Site Information. Plat Key: CONV Name: CONVERTED CNTY DATA Contact: LANG, LARRY Address: 9408 E SINTO AVE C - S - Z: SPOKANE, WA 99206 Phone: (509) 891-5541 Group Name: Project Name: District: F Parcel Number: 45172.0903 Block: SiteAddress: 9408 E SINTO AVE SPOKANE, WA 99206 Location:: SPO Zoning: UNKN Unknown Water District: Area: 8,000 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 10 Review Information: Department BUILDING Hold Reasons: Permit Conditions: Review Plan Review Lot: Owner: Name: LANG, LARRY Address: 9408 E SINTO AVE SPOKANE, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Sewage designed for 1 -bedrooms only. Project Number: 01001351 Inv: 1 Application Date: 3/9/01 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Address: 0 000000, 00 Const Category: R Nbr Of Dwellings: Bldg W x D: Req Parking: Description RESIDENCE 000000 Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics emodel Group: R-3 Type: VN Occupant Load: Building Height: Stories: x Building Sq Ft: Sprinlders: Handicap Parking: Critical Materials: This Application: Total Project: Grp km Notes Sq Ft Valuation Su Ft Valuation R-3 VN REMODEL 0 $1,000.00 0 $1,000.00 BASEMENT Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Summary: Operator: DMD Permit Type Building Permit Notes: Totals: 0 $1,000.00 0 $1,000.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Printed By: DMD Permit Total Fees: Print Date: Fee Amount Invoice Amount $48.12 $48.12 Fee Amount $35.75 $4.50 $7.87 Amount Paid $0.00 $48.12 3/9/01 Amount Owing $48.12 $48.12 $48.12 $0.00 $48.12 L SPoxMI' COUNIIY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): Legal Description: Project Description: cy It Ve_cL%oJI O Building Permit O Change in Use O Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) O Other OWNER/APPLICANT INFORMATION El Indicate who should be contacted reearding this project Owner: L1et,/ MOV Phone: ��� Fax: 0 Applicant: Phone: Fax: Mailing Address: 9 7 s 51 ,,/7/ eJ Mailing Address: Dimensions City, State, ZipCity, c._5((if p., Gz--)GL ./jam©o State, Zip Occupancy group 0 Contractor Phone Fax 0 Architect/Engineer Phone Fax Mailing address Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: PROTECT INFORMATION g "izs" €' al .h n.... ..... .,.., r Y, k.•.`.s 5.., .�. ....... �T'4: .. �.'sx ��'� �., a`+. s £� 4:-<i•'i �$ ' x'MF .; £.� s M� , . � �r�. �.�3'3, . Wa`X.� ate* J�"i ��xY .S.f, vi�"""4 g 9�. Building height to peak N of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions Total habitable space 2' floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project Heat source (electric, gas, etc.) Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Area of existing signs Previous address Fire Sprinkler Paint booth Fire Alarm Tent Fireworks display Proposed use Value Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O No If yes, identify on site plan What is the current property size? (square feet or acres) Is any pan of the property within 250 feet of a shoreline? If yes, identify on site plan O Yes O No What is the current use of this property? Is your property in a designated wildlife habitat area? O Don't know O Yes 0 No Will the site be served by a septic system? O Yes • O No Is any part of the property within a 100 yr flood plain? If yes, identify on site plan 0 Maybe O Don't know O Yes 0 No Are or will there be wells located on the property? If yes, identify on the site plan O Yes O No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identib on site plan O Yes O No Is there evidence of fill or excavation on the property? O Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (/ %) O Yes O No Are critical or hazardous materials used or stored on site? O Yes O No DEPARTMENT USE ONLY Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ CASH ❑ CHECK ❑ _ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL