1995, 12-07 Permit App: 95010190 AdditionPROJECT NUMBER= 95010190 APPLICATION
******
THIS 1S'NOt A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
DATE= 12/07/95 PAGE= 01
******
SITE STREET= 12803 E SINTO AVE PARCEL#= 45152.0405
ADDRESS= SPOKANE WA 99216
PERMIT USE= KITCHEN ADDITION
PLAT#= 001880 PLAT NAME= OWENS SUB
BLOCK= 4 LOT= 5 ZONE= UR -3.5 DIST#= F
AREA= 00010220 F/A= F WIDTH= 73 DEPTH= 140 R/W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= PEDERSON, TODD & SHELLEY
STREET= 12803 E SINTO AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 926 4646
CONTACT NAME= DR. FASTHAMMER PHONE NUMBER= 509 927 2441
BUILDING SETBACKS: FRONT= NA LEFT= 26 RIGHT= 12 REAR= 30
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
*******************************
BUILDING PERMIT
CONTRACTOR= DR FASTHAMMER INC.
STREET= POB 141771
ADDRESS= SPOKANE WA 99214
*******************************
PHONE= 509 927 2441
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 15 X 13 SQ FT= 210 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 210 12180.00
PROJECT NUMBER= 95010190 APPLICATION DATE= 12/07/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 144.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 30.24
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= DR FASTHAMMER INC..
STREET= POB 141771
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
VENTILATING FANS
PHONE= 509 927 2441
QUANTITY FEE AMOUNT
1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= HOLLY'S PLUMBING
STREET= 10603 E SPRINGFIELD AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
SINKS
DISH WASHERS
PERMIT TYPE
PHONE= 509 924 7314
QUANTITY FEE AMOUNT
1
1
6.00
6.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 178.74 .00 178.74
MECHANICAL PRMT 10.00 .00 10.00
PLUMBING PERMIT 12.00 .00 12.00
200.74
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 200.74
******************************** THANK YOU ************************************
APPLICATION INFORMATION
%What is the JOB SITE address?
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ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
Pq.c4 r
OWNER or OCCUPANT Phone
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Mailing address
City, state
Zip
Who should we contact regarding this project?
Phone
?
What work is being done under this permit?
Add 1t1D,
Contractor
Pr. Fl v,, 2�y�
Building height —J/
# of stories
Dimensions
TOTAL SQUARE FOOTAGE
_.29 _ �►o
WA State Contractor license #
Pr, q5 *091 P�
Mailing address
Main floor area
130 /`4Lj-/771
2nd floor area
Architect/Engineer
ry e, tV k\ D r .
Garage area
a`-) x33
Unfinished basement area
Finished basement area
Size of decks, etc.
What is the heat source?
�L1V-1'101
What is the cost of your project? 1 7 a
0,
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Y
0.
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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