1997, 08-14 Permit App: 97006141 Addition PROJECT NUMBER= 97006141 APPLICATION DATE= 08/14/97 PAGE= 01
PROJECT NUMBER= 97006141 APPLICATION DATE= 08/14/97 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PE IT
SITE STREET= 422 S VERCLER RD PARCEL#= 45222.131
ADDRESS= SPOKANE WA 99216 1
PERMIT USE= (2) STORY RESIDENCE ADDITION - REC ROOM & BEDROOM
PLAT#= 000162 PLAT NAME= BAUMANN'S SUB
BLOCK= 3 LOT= 4 ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 85 DEPTH= 141 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= COX, CHARLES PHONE= 509 926 1775
STREET= 422 S VERCLER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= GARY - EMERALD BUILDERS PHONE NUMBER= 509 448 4990
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= 15 REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 08/14/97
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 08/14/97
******************************* BUILDING PERMIT ****************4 **************
CONTRACTOR= EMERALD BUILDERS PHONE= 509 448 702EI
STREET= 4505 S WILLAMETTE CT
ADDRESS= SPOKANE WA 99223 I
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 19 STORIES= 2
BLDG W X D = 24 X 21 SQ FT= 1008 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 504 29736. 00 I
RES ADD 2F R-3 VN 504 29736.00 I
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 642.50 I
RESIDENTIAL SURCHARGE Y 141.35
STATE SURCHARGE Y 4 .50
PROJECT NUMBER= 97006141 APPLICATION DATE= 08/14/97 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= EMERALD BUILDERS PHONE= 509 448 7028
STREET= 4505 S WILLAMETTE CT
ADDRESS= SPOKANE WA 99223
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS LOG OR GAS INSERT 1 10. 00
GAS PIPING 1 1.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 788.35 .00 788.35
MECHANICAL PRMT 11. 00 .00 11. 00
799.35 .00 799.35
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
APPLICATION INFORMATION _
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ss? ASSESSOR'S tax parcel number? l
ic9,
Legal description as it appears on the property deed
OWNE or OCCU ANT Phone
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Mailing address City,state Zip
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Who should we contact reg ding th' project? /' Phone
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What work is being done under this permit?
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Lone Inspector district Property size Hight of way width
53 m
Water district
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Building Building height i #of stories
els.
Contractor Dimensions TOTAL SQUARE FOOTAGE
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WA State Contractor license# Main floor area Unfinished basement area
iitigab*l 775— L-ii 5()Li
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? 6-00S4)
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
Publ is/serni-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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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 0 Septic tanks & wells
O All existing & proposed buildings