1993, 09-10 Permit App: 93008170 Addition PROJECT NUMBER= 93008170 APPLICATION DATE= 09/10/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 10122 E 4TH AVE PARCEL#= 45201. 1506
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE ADDITION - REC ROOM
PLAT#= 001834 PLAT NAME= OPP.TR. 1-354
BLOCK= 15 LOT= 6 ZONE= UR-3.5 DIST#= E
AREA= F/A= F WIDTH= 132 DEPTH= 330 R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= GANO, NORMAN & FAY PHONE= 509 921 6703
STREET= 10122 E 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= FAY OR NORMAN GANO PHONE NUMBER= 509 921 6703
BUILDING SETBACKS: FRONT= NA LEFT= 36+ RIGHT= 60 REAR= 100+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
7Y17"--41-4
BUILDING PLAN REVIEW REQUIRED �I42--t•d -1S..
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COMMENTS: <77i e`'-'
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BUILDING SETBACK REVIEW REQUIRED
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COMMENTS:
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7
HEALTHDI .i INCREASE IN LOT COVERAGE I f `,_/ - 1. ., ./ ArL, /
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 18 X 32 SQ FT= 576 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 576 23616. 00
PROJECT NUMBER= 93008170 APPLICATION DATE= 09/10/93 PAGE=- 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 243. 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 43 . 74
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 291.24 . 00 291.24
291.24 . 00 291.24
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK `LOU ************************************
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iAPPLICATIQN WORKSHEET li
LGeneral Information `
Job address Parcel number
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L Site Information y
Legal Description
Property size Water Distnct Number of: Dwellings Buildings
LProject Information 11
Permit Use I New I Addition fl I Remodel I Changeot use i
Lk Building Information
Dwelling units Occupant load Building height Stones
Building dimensions 'Iota'square footage Req'd parking Handicap parking Sprinkler system Critical Material
—1
mre foote breakdown Heating and insulation information (R—values)
Main(lootag
Uncovered/covered deck Heat source
Second Boor Other Flat ceiling Vaulted ceiling Above grade wall
Below grade wall Floor Slab on grade
Finished basement
Unfinished basement Door(u—value) Window Furnace etlrcency
total window area %of tloor area
Garage
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Building contractor Plumbing contractor
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License num er
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License number
Phone License number Phone
Mailing address Mailing address
City,state,zip City,state,zip
PROJECT CON _ CT % J ,wt PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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