HomeMy WebLinkAbout1996, 07-02 Permit App: 96005105 Change of OccupancyPROJECT NUMBER= 96005105 APPLICATION
DATE= 07/02/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2509 S SONORA DR PARCEL,#= 45253.0203
ADDRESS= VERADALE WA 99037
PERMIT USE= CHANGE OF OCCUPANCY R--3 TO LC FOR 6 LEVEL I CLIENTS
PLAT#= 002647 PLAT NAME= TIMBERLANE 1ST ADD
BLOCK= LOT= ?ONE= UR 3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
# OF BLDGS= 1 # DWELLINGS- 1 WATER DIST = SPOKANE, CITY OF
OWNER= CHURCHILL, JOHN
STREET= 11414 E 16TH AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 924 1003
CONTACT NAME= JOHN CHURCHILL PHONE NUMBER= 509 924 1003
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW TNFOR?NATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS : l F -17-1 A IC—CC c_ eA i )C`* 1609-11e0 V /I-(__ F7 -'1K tom. /AV
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
AA
././A3'6
******************************* RUI LDT NG pr!RMIT****.k.**************************
CONTRACTOR= OWNER
PHONE=
NEW= REMODEL= ADDITION= CHANGE OF USE= X
DWELL UNITS= OCCUP. LD= RLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SO PT VALUATION
C OF USE LC '✓N .00
ITEM DESCRIPTION
QTJA TTT
FEE AMOUNT
STATE SURCHARGE Y 4.50
CHANGE OF USE/SAFETY INS," 50.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 96005105 APPLICATION DATE= 07/02/96 PAGE= 02
PERMIT TYPE
FEE MOUNT I,MOUNT PAID AMOUNT OWING
BUILDING PERMIT 54.50 .00 54.50
54.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 54.50
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address?
ASSESSOR'S tax number?
7
Legal descn
s it appears on the property deed
QCCUPA
Who
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address
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fegarding this project?
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at work is being done under this perry�t?
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Inspector dlstrct
Phone
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qgPi7e/O6
Property size Rig O way vw
Zip
Water: district
Contractor
WA State Contractor license #
Mailing address
Architect/Engineer
What is the heat source?
Building height
Dimensions
Main floor area
2nd floor area
Garage area
What is the cost of your project?
# of stories
TOTAL SQUARE FOOTAGE
Unfinished basement area
Finished basement area
Size of decks, etc.
Man
ufactu
red Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
We 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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