1995, 09-19 Permit App: 95007467 Addition PROJECT NUMBER= 95007467 APPLICATION f DATE= 09/19/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 920 N VERCLER RD PARCEL#= 45152. 1609
ADDRESS= SPOKANE WA 99216
PERMIT USE= 10 X 12 BATHROOM ADDITION TO RESIDENCE
PLAT#= 001838 PLAT NAME= OPP.TR. 1-354
BLOCK= 79 LOT= ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 87 DEPTH= 320 R/W= 40
# OF BLDGS= 3 # DWELLINGS= 1 WATER DIST =
OWNER= MORRIS, JESSIE PHONE= 509 926 1812
STREET= 920 N VERCLER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= JOM LAUGHLINE PHONE NUMBER= 509 326 0908
BUILDING SETBACKS: FRONT= 50 LEFT= 10 RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED a `C.I L q ' Ick •q5
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED lq `13
COMMENTS:
4/b
HEALTHDIST INCREASE IN LOT COVERAGE14 // / w
COMMENTS: 9 d ,'/
******************************* BUILDING PERMIT *******************************
CONTRACTOR= CAPSTONE CONSTRUCTION PHONE= 509 467 5330
STREET= PO BOX 388
ADDRESS= NINE MILE FALLS WA 99026
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 10 X 12 SQ FT= 120 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 120 6960. 00
PROJECT NUMBER= 95007467 APPLICATION DATE= 09/19/95 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 90. 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 17 . 10
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= CAPSTONE CONSTRUCTION PHONE= 509 467 5330
STREET= PO BOX 388
ADDRESS= NINE MILE FALLS WA 99026
ITEM DESCRIPTION QUANTITY FEE AMOUNT
VENTILATING FANS 1 10. 00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= CAPSTONE CONSTRUCTION PHONE= 509 467 5330
STREET= PO BOX 388
ADDRESS= NINE MILE FALLS WA 99026
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6. 00
SHOWERS 1 6. 00
SINKS 1 6. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 111. 60 . 00 111. 60
MECHANICAL PRMT 10. 00 .00 10. 00
PLUMBING PERMIT 18 . 00 . 00 18 . 00
139. 60 . 00 139. 60
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
APPLICATION INFORMATION
hat is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed 8
OWNER or OCCUPANT Phone
J55 i t �D✓rri s • 1 C -/f/2._
Mailing address City,state Zip
4)12 c Vern/ 5-ip ,e, c (-,)/4 • 'T'-2/ ,
ho should we contact regarding this project? Phone
aps-1 e CbA)5 lrcc-/ o -' 2(Q.0 _Y' '
What work is being done under this permit?
Inspector distnc ►property size
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ater district ,;
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Building Building height #of stories
INIONIIIII `'m Dimensions TOTAL SQUARE FOOTAGE
a ,
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WA State ntractor license# Main floor area • Unfinished basement area
C" AP S 1ec,/0‘ Js t zD
Mailing address 2nd floor area Finished basement area
Ea)6 3 8e Yu'it:c ni i le l/3. - w/19-
Architect/Engineer / Garage area Size of decks,etc.
What i:�the heat source?k. Wha is the cost of your roject?
fr (rc �ieq�tr- ' Ge?�i6, S
Manufactured Home
:> ; Sign.
Width: Length: What is the square footage of • I-low 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
IFuei 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
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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