1996, 03-14 Permit App: 96001350 Reroof, Dormer PROJECT NUMBER= 96001350 APPLICATION DATE= 03/14/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A. PERMIT
SITE STREET= 1622 N WILBUR RD PARCEL#= 45094.0578
ADDRESS= SPOKANE WA 99206
PERMIT USE= REROOF RESIDENCE& ADD BUILD DORMER
PLAT#= 002019 PLAT NAME= PINECROFT 1ST ADD (COPY IN PRI
BLOCK= LOT= ZONE= UR 3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 330 DEPTH= 110 R/W= 30
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= WILLEY, DAN PHONE= 509 922 8803
STREET= 1622 N WILBUR RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= CRAIG WARZON PHONE NUMBER= 509 226 1428
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J LARSON DATE: 03/14/96
******************************* BUILDING PERMIT *******************************
CONTRACTOR= HOME SWEET HOMES PHONE= 509 226 1428
STREET= 8419 N HAYE LN
ADDRESS= NEWMAN LAKE WA 99025
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 5900.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 97.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 21.34
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 96001350 APPLICATION DATE= 03/14/96 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 122.84 .00 122.84
122.84 .00 122.84
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
******************************** THANK YOU ************************************
APPLICATION INFORMATION
hat is the JOB SITE address?
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ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
0 NER or OCCUPANT Phone
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Mailing address City,state Zip
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Who should we contact regarding thi project? Phone
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What Work is bei g one under this permit?
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Gone inspector district > Property size -Right of way width
N
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Water district
Y
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Building Building�eight ries
Bui VV #ofsto
Contractor Dimensions 'TOTAL SQUARE FOOTAGE
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WA State Contractor lic se# Main floor area Unfinished basement area
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iling ad ress 2nd floor area Finished basement area
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Architect/Engineer Gara e� Size of c(ecks,etc.
lit
Whbt i$the heat source? Wha is 'e c at 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
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.