1998, 02-18 Permit App: 98001090 Fire Damage RepairPROJECT NUMBER=
98001090
APPLICATION
DATE= 02/18/98 PAGE= 01
PROJECT NUMBER=
98001090
APPLICATION
DATE= 02/18/98 PAGE= 01
******
THIS IS NOT A PERMIT
******
PENALTIES
WILL BE ASSESSED
FOR COMMENCING
WORK WITHOUT A PERMIT
SITE STREET= 4126 N WOODLAWN RD PARCEL#= 45032.0112
ADDRESS= SPOKANE WA 99216
PERMIT USE= FIRE DAMAGE REPAIR
PLAT#= 002503 PLAT NAME= STEVICK ADD
BLOCK= 1 LOT= 12 ZONE= AGSUB DIST#= H
AREA= 00000000 F/A= F WIDTH= 80 DEPTH= 150 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= BENNETT, KEN PHONE= 509 927 5888
STREET= 4126 N WOODLAWN RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= KEN BENNETT PHONE NUMBER= 509 991 5655
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
xxx++++++++++txttxx+xxx+++++++ REVIEW INFORMATION ++++++ttxx++++++txxx+++++txxt
DEPARTMENT REVIEW REQUIREMENT
BUILDING FIELD INSPECTION REQUIRED /){; d ✓
COMMENTS:
tt++++xttxxtt+xt++++++++++ttttt BUILDING PERMIT +++++++ttttt++++++ttttt+++++ttt
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION- CHANGE OF USE=
DWELL UNITS= 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
----------- ----- ---- ----- ---------
REPAIR R-3 VN 5600.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
RESIDENTIAL VALUATION Y 113.00
RESIDENTIAL SURCHARGE Y 24.86
STATE SURCHARGE Y 4.50
xxxx+++++++++tttt++++++++++tttt PAYMENT SUMMARY t+ttxt+++++ttt++++++tt++++++
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
02/18/98 00001319 142.36
------------
TOTAL DUE= .00 TOTAL PAID= 142.36
PROJECT NUMBER= 98001090 APPLICATION DATE= 02/18/98 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 142.36 142.36 .00
142.36 142.36 .00
PROCESSED BY: CAROL FRAZIER
PRINTED BY: KATHY CUMMINGS
++++++++++++++++++++++++++++++++ THANK YOU ++++++++++++++++++++++++++++++++++++