1994, 08-24 Permit App: 94008245 Siding PROJECT NUMBER= 94008245 APPL}CATION DATE= 08/24/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
I
SITE STREET= 2523 S SULLIVAN RD PARCEL#= 45253. 9033
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDE DUPLEX
PLAT#= 002748 PLAT NAME= VERA
BLOCK= LOT= 2 ZONE= UR 3.5 DIST#= F
AREA= F/A= WIDTH= DEPTH= R/W=
# OF BLDGS= 1 # DWELLINGS= 2 WATER DIST = VERA
OWNER= INGRAHAM, DENEL PHONE=
STREET= 2523 S SULLIVAN RD
ADDRESS= VERADALE WA 99037
CONTACT NAME= C & H IMPROVEMENTS PHONE NUMBER= 509 535 4917
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING HOLD CONTRACTOR LICENSE VERIF. dr) ,„),,
COMMENTS: _ 0*C t
******************************* BUILDING PERMIT *******************************
CONTRACTOR= C & H IMPROVEMENTS PHONE= 509 535 4917
STREET= 1738 N ALTAMONT ST
ADDRESS= SPOKANE WA 99207
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RESIDE R-3 VN 7000. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 90. 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 16.20
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 94008245 APPLICATION DATE= 08/24/94 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 110.70 .00 110.70
110.70 . 00 110.70
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
******************************** THANK YOU ************************************
APPLICATION WORKSHEET j1 ��/ ,L'��
c0.1
L General Information ,7 COO_____---
oti a—li,lressParcel number
—0 Phone
Li/ice :/I .4-14/L..1 Yri�
•aiinga, ress —
City State—. 7ip
Site Information `
Legal Descnption
Property size Water District Number of: Dwellings Buildings
Zone Inspector > Road width
Project Information
New Addition Remodel Change o(use
r.-)() c)i €D)
_ Building Information
Dwelling units Occupant load I Building height Stones
Building dimensions lotalsquaretootage Req'd parking Handicap parking Spnnklersystem Lr' Material
Hearin.and insulation information R-values
Squae
am r❑Dor(Dotage breakdown Uncovered/covered deck •eat source
Second floor Other 1111111111.111111111111
Finished basement
Unfinished basement
Mwin,ow arca
Garage
-Contractor Information'
Buildy'g contractor
Plumbing contractor
plc z��u�F 91tiGf ���'�� 5 3 S o- q9/ 7 Phone
License num er / Phone License number
`!/�/ P ` 2c/Q Mailing address
Mai inga dress
1 /23V /Lr�Ho N City,statezip
ity,state,zip
( oA/t)L LGA I� � '7
Heating contractor Other/Lender
License number Phone License number PhO1e
ai mga rens Mailing address
City,state,zip City,slate,zip
PROJECT CONTACT PHONE
Spokane County Division of Buildings
,,, ,. ,,, esnnr-n a irnrn •rr or—sr
REGISTERED AS PROVIDED BY LAW AS A: c
cri'NT s r,.,T;i i r* •:-,•0^.
REGISTRATION NUMBER` EXPIRATION DATE
Ct71ti 17 9Cim 09,in{ll?4
FF-F cCT:Ivr DATE L1/1_4Ib3
C :14 .{:TSS
'SP OKA 4 s:. `.. f. ,9'.0c, 7
SIGNATURE f "K"
ISSUED BY DEPA ENTrDE- 14-QN.Q NDUSTRIES