1999, 11-12 Permit App: 99010979 Addition f I ."�
Project Number: 99010979 Inv: 1 Application, Date: 11/12/19 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ADDITIONAL BEDROOM(LOWER LEVEL) Contact: ARMSTRONG,KIRK&MAR
Address: 11120 E 31ST
Setbacks:Front Left: Right: Rear: C-S-Z SPOKANE WA 99206
Phone: (509)927-9175
Site Information:
Plat Key: 001742 Name: MYRON ESTATES#6 District: H
Parcel Number: 44042.1809
SiteAddress: 4722 S TIPAWAY ST Owner:Name: ARMSTRONG,KIRK&MARC
SPOKANE,WA 99223 Address: 11120 E 31ST
Location::SPO SPOKANE WA 99206
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 100 Depth: 150 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
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BUILDING Plan Review (\A tJ
tis
1 I A\. CI� `l'-
Comments: 1
HEALTHDISTRICT Septic System Review yX__, -___
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Comments: , �c s y, ...ipl -s.� -,_ c,d' '1 if, e`.l4as /r,4 6.1-4'-_,6 a e-c v0,e,./
Permits:
4
Project Number: 99010979 Inv: 1 .T Application Date: 11/12/19 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: Remodel
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: 140 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VN REMODEL 0 $600.00 0 $600.00
Totals: 0 $600.00 0 $600.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $35.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $7.70
Permit Total Fees: $47.20
Payment Summary:
Operator: CKF Printed By: CKF Print Date: 11/12/1999
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $47.20 $47.20 $0.00 $47.20
$47.20 $47.20 $0.00 $47.20
Notes:
C/O issued on 7/2/99 by BAS.Permit#99-4422.
APPLIQATICtiN INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description a it appears on the property deed
OWNER or OCCUPANT Phone
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Mailing addres City,state t/ Zip
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Who should we contact regarding this project? Phone
What work is being done under this permitt , {-;)(
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Lone Inspector district Property size Right of way width
a) a,
in rr)
Water district
CI
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0 0
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
Manufactured Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm _ 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 Size/gallons Private
Contents of tank(s) Size/gallons
Public/semi-private
Contractor Contractor
Wa State Contractor license# WA State Contractor license#
Mailing address Mailing address
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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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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments 0 Underground utilities
❑ Distances from center of roads, right of ways, 0 North arrow
private roads & property lines O Septic tanks & wells
O All existing & proposed buildings