1995, 07-18 Permit App: 95005335 AdditionIPROJECT NUMBER= 95005335 APPLICATION DATE= 07/18/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSEI5 FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11510 E 4TH AVE PARCEL#= 45211.1905
ADDRESS= SPOKANE WA 99206
PERMIT USE= 22 X 36 RESIDENCE ADDITION
PLAT#= 001839 PLAT NAME= OPP.TR. 1-354
BLOCK= 192 LOT= ZONE= UR 3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= MELVIN, MICHAEL & THERESA
STREET= 11510 E 4TH AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 924 4348
CONTACT NAME= MICHAEL MELVIN PHONE NUMBER= 509 924 4348
BUILDING SETBACKS: FRONT= NA LEFT= 50 RIGHT= 15 REAR= 50
I****************************** REVIEW INFORMATION
*****************************
:DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J LARSON DATE: 07/18/95
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J LARSON DATE: 07/18/95
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
v
ca
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 22 X 36 SQ FT= 820 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 820 47560.00
PROJECT NUMBER= 95005335 APPLICATION DATE= 07/18/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 401.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 72.27
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
GAS APPLIANCE >100,000BTU 1 15.00
RANGE 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2.00
VENTILATING FANS 2 20.00
HOOD -TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
TOILETS/BIDETS
TUBS
SINKS
DISH WASHERS
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
QUANTITY FEE AMOUNT
1 6.00
1 6.00
2 12.00
1 6.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
478.27 .00
67.00 .00
30.00 .00
575.27
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
478.27
67.00
.00 \ 575.27
******************************** THANK YOU ************************************
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