1995, 08-22 Permit App: 95006541 Garage PROJECT NUMBER= 95006541 APPLIC .T ON.. DATE= 08/22/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 16003 E WELLESLEY AVE PARCEL#= 46363. 0121
ADDRESS= SPOKANE WA 99212
PERMIT USE= ATTACHED GARAGE (26 X 24)
PLAT#= 002849 PLAT NAME= WELLESLEY MANOR 3RD ADD
BLOCK= 1 LOT= 21 ZONE= UR-3.5 DIST#= H
AREA= 00000000 F/A= F WIDTH= 96 DEPTH= 128 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= HUBERT, DAVID & KATHY PHONE= 509 922 2996
STREET= 16003 E WELLESLEY AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= DAVID HUBERT PHONE NUMBER= 509 928 2442
BUILDING SETBACKS: FRONT= 35 LEFT= NA RIGHT= 23 REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS: _41 c� " -5-Zs
BUILDING SETBACK REVIEW REQUIRED r--
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COMMENTS:
zicD-
HEALTHDI INCREAS'E IN LOT COVERAGE 0)/ ( S
COMMENTS: S// ! r
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 10 STORIES= 1
BLDG W X D = 26 X 24 SQ FT= 624 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE U-1 VN 624 7488. 00
•. .
PROJECT NUMBER= 95006541 APPLICATION DATE= 08/22/95 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 99. 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 17. 82
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 121.32 . 00
121.32 .00 121. 32
PROCESSED BY: JULIE SHATTO
PRINTED
BY: JULIE SHATTO
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
� r, � ) A c'r 2 ( (f,
Legal description as it appears on the property deed ,) t /
OWNER or OCCUPANT Phone (wq z5 z yy Z
v Ili, � ' (,5 )9'Z Z- Z411(o
Mailing address J City,state Zip
I to 0o 3 E . N te'.Ft,, 4 ) CAU A 919 al.lq
Who should we contact regarding this projec Phone
What work is being done under this permit?
-1-15 (•••••
Gone Inspector istnct . Property:se night of way width '
D111) g4D
Water district
a
Building Building height #of stories
� 1o '
Contractor Dimensions TOTAL SQUARE FOOTAGE
C) we , 2/4' x 210'
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
ArchitecVEngineer Garage area Size of decks,etc.\
What is the heat source? What is the cost of your project?
4)90
Manufactured Home / Sign;;
Width: ,Cength: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor lic se# Wa State Contra or 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 lic se# WA State Contractor licen e#
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 Ii nse# WA State Contrac r license#
Mailing address Mailing addres
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.