1997, 04-21 Permit App: 97002424 Roof Cover t
PROJECT NUMBER= 97002424 APPLICATION DATE= 04/21/97 PAGE= 01
PROJECT NUMBER= 97002424 APPLICATION DATE= 04/21/97 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13609 E 3RD AVE PARCEL#= 45221. 9149
ADDRESS= SPOKANE WA 99216
PERMIT USE= 12 X 63 ROOF COVER OVER EXISTING MOBILE HOME
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 150 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= STEPHENS, ROSS G. PHONE= 509 924 2884
STREET= 13609 E 3RD AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ROSS STEPHENS PHONE NUMBER= 509 924 2884
BUILDING SETBACKS: FRONT= UNK LEFT= RIGHT= UN1 REAR= UN—
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****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED � _)
COMMENTS: 4 cC -q 7
BUILDING SETBACK REVIEW REQUIRED C / UL�J�
COMMENTS: `T 'c)-1 -q t
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 14 STORIES= 1
BLDG W X D = 12 X 63 SQ FT= 756 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
ROOF COVER R-3 VN 756 3402 .00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 88.00
RESIDENTIAL SURCHARGE Y 19.36
STATE SURCHARGE Y 4 .50
PROJECT NUMBER= 97002424 APPLICATION DATE= 04/21/97 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 111. 86 .00 111. 86
111. 86 .00 111. 86
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
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