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1996, 02-15 Permit App: 96000724 AdditionPROJECT NUMBER= 96000724 API`LICAT'SON DATE= 02/15/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 11017 E VALLEYWAY AVE ADDRESS= SPOKANE WA 99206 PARCEL#= 45163.0238 PERMIT USE= GARAGE ADDITION & EXISTING GARAGE PLAT#= BLOCK= AREA= # OF BLDGS= 001020 2 00000000 1 # OWNER= PHILLIPS STREET= 1101" ADDRESS= CONTACT NAME= BUILDING SETBACZ PLAT NAME= LOT= F/A= DWELLING" GLENNOLIVE SUB,1ST ADD 2 ZONE= UR -3.5 DIST#= F F WIDTH= 82 DEPTH= 137 R/W= 50 WATER DIST = MODERN ***************** DEPARTMENT PHONE= PHONE NUMBER= 509 489 1776 RIGHT= NA REAR= NA j1NFORMATZON ***************************** REVIEW REQUIREMENT BUILDING PLAN IEW REQUIRED COMMENTS: BUILDING COMMENTS: GrAdie t7 PuQaJS SETBACK REVIEW REQUIRED ire- `-k--1*-A ** **** ***fir*** *** BUILD _ct CONTRACTOR= CUSTOM STRUCTURES STREET= 1707 E PROVIDENCE ADDRESS= SPOKANE WA 99207 off; Vie__ 7-r� ci* fD 4-1? o Gi NG PERMIT **.** NEW= X 1-16v) REMODEL= DWELL UNITS= / OCCUP. LD= BLDG W X D = 2!..kV X 3O SQ FT= /VD REQ PARKING= #HANDICAP= 044 X. act OctDfctSc, 5?y, PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO ******************************** THANK YOU PHONE= 509 489 1776 ADDITION= X CHANGE OF USE= BLDG HGT= 12 STORIES= 1 SPRINKLER= N CRITICAL MAT= N ************************************ 0 0. m APPLICATION INFORMATION What is the JOB SITE address? 11{ ASSESSOR'S tax parcel numbe Legal description as it appears on the property deed Is (-7; v OWNER or OCCUPANT L wz1 PAM/ Phone Mailing address g //u/7 L/c, ( y City, state Zip �] `1 ? ( (a Who should we contact regarding this project? Phone Y `? - / 7 7 What work is being done under this permit? X44.,t_e_ A e Building height / -, 1 # of stories Contractor ff / C S)-Vwa SF,2 fvn 5 Dimensions X' -v TOTAL SQUARE FOOTAGE WA State Contractor license # C✓J t°) 0 7L -N Main floor area Unfinished basement area Mailing address , t7 7 PgOLi; cle•-/ 2nd floor area Finished basement area Architect/Engineer ( /I -c.e /1 , 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 the sign face? How high is the sign? Year: Make: 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 4a' 0 0 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 programa or activities. va <<c((f3o&y 7S ADDRESS: E, 110 Ii l��u,Ey_czq ZONE --..!DAD WIDTH: 5.0 FRONT cal) •OMMENTS toF NEC E.1,017 FLANKING: r Olr�e, & (if yw,r we /1 sof Disclosure/Inspection Report Address: Owner: Use: Date: Permit #: Pursuant to the referenced permit number, we have concluded the inspection and review process for the use indicated above. This was initially constructed and completed without benefit of complete permits and/or inspection. Based on our review: There appears to be no apparent unsafe conditions, however compliance cannot be verified. Many items/areas could not be properly inspected due to a lack of required permits/inspections at the time of construction. ❑ Those portions of the structure which are visible, or were otherwise exposed, appear to be in substantial conformance with applicable safety codes. Many items/areas could not be properly inspected due to a lack of required permits/inspections at the time of construction. ❑ The construction/installation appears to be in substantial conformance with applicable codes. Comments: Inspector Top copy - permlt holder j Bottom copy - address file in.pect.hnd SALE/DEVELOPMENT/DIVISION SEGREGATION This application is to be completed in its entirety before processing. Parcel Number(s) • ``4 c 1 a3 02 -3g APPLICANT Name .J am I'e_ Lovkc e_-(erz. c� Address r)707enc- City Seol-c."� State w Zip 992-(97 Phone L'(E)?` VT? Work S, -(,),e OWNER(IF NOT APPLICANT) Name L- DtAx- 1a ( PkU(p5 AddressF, I) C3 / 7 Ua)IfY C4) City Spo/vt P wA. j State w . Zip q� 2l 1p APPLICANT IS: Owner Lessee Conka2 Purchaser Other TAXPAYER(S) A Name `5f Address City State Zip B Name Address City Tax Status' ` (S CP, (r) (Year) NOTES STATE OF WASHINGTON COUNTY OF SPOKANE I, S. C HARLENE COONEY Assessor of Spokane. State Zip c County State of Washington, do hereby certify that the to sigoing instrument is a true and correct copy of the original thereof now on file in my office. ' Dale� \:1,\k" t l Name Address City State Zip Add sheets if more taxpayers PLEASE READ BEFORE SIGNING: Division of land for the purposes of sale or lease must be divided in accordance with applicable state and local laws governing such divisions. (Contact your local city or county planning department for futher information) Complete this form and return together with supporting documents (if any) to the Spokane County Assessor's Office at West 11168roadway,Spokane ,WA 99260. Telephone: 456-3698 "This segregation application is for the sale lease or transfer of property into more than one owner- ship '' ontract deed of trust, con �;,� immooncing arrangments': ( Please sign below.) Ap•licants Signafr;(o •• PLANNING DEPARTMENT REVIEV z)1(../g6 Approved Date Denied (Official) Date received' Z Checked by: Field Book number -7--/(0 - 90 Approved by' (Date) (Signature)