1994, 11-04 Permit App: 94011056 Fire Damage RepairPROJECT NUMBER= 94011056 APPLICATION
DATE= 11/04/94 PAGE= 01
****** THIS IS NOT A•PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11902 E 4TH AVE PARCEL#= 45211.1306
ADDRESS= SPOKANE WA 99206
PERMIT USE= FIRE DAMAGE REPAIR
PLAT#= 001839 PLAT NAME= OPP.TR. 1-354
BLOCK= LOT= ZONE= AGSUB DIST#= F
AREA= 00000000 F/A= F WIDTH= 66 DEPTH= 310 R/W=
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= FOUNTAINE, STEVE
STREET= 11902 E 4TH AVE
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME= PHIL LOCKWOOD PHONE NUMBER= 509 994 4574
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PRE -INSPECTION APPROVAL
COMMENTS:
/ane(%uftr iD)Ilfiase 2 tee( s
******************************* BUILDING PERMIT *******************************
CONTRACTOR= DEE QUINTON CO
STREET= 1806 W WEDGEWOOD AVE
ADDRESS= SPOKANE WA 99208
PHONE= 509 326 2584
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
RE -MODEL R-3 VN 40000.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 349.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 62.91
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
11/04/94
RECEIPT#
00013190
PAYMENT AMOUNT
416.91
TOTAL DUE= .00 TOTAL PAID= 416.91
PROJECT NUMBER= 94011056 APPLICATION DATE= 11/04/94 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 416.91
416.91
416.91 .00
416.91 .00
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
PRE -INSPECTION REQUIRED PRIOR TO ISSUANCE OF PERMIT.
PROCESSED BY: CAROL FRAZIER
PRINTED BY: WENDEL, GLORIA
******************************** THANK YOU ************************************
APPLICATION INFORMATION
9
SITE ADDRFSS f—/?• Parcel number
Legal descriptio
Zone
Inspector district
Property size
Right of way width
Water district
OWNER.L Phone
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1, 4-
Addressy Ci y, state , l Zip
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APPLICANT
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Address City statty 9 Z�
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CONTACT /) / Phonep
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PERMIT USE 1
,Building New Change of use_
Add _ Remodel_
Building height
�< f<?6'a
Stories
ContractorC
tc iv 74t. -r----
Dimens s
Total footage ^�
G� --5?L
0`/'12G
License
Qcc c._/,/ 2—(72--9l0
Main floor
-
Unfinished bas ent
g'.00 5 /'---
A
Addre
Second floor
Finished basement
Architect/Engineer
Garage
Decks, etc.
Value e -t(), DDQ
Manufactured Home
Sign
Width:
Length:
Square footage
Height
Year:
Make:
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Relocation
Fire Safety
Fire Sprinkler Tent _
Previous address
_
Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Fuel Storage Tanks
(Circle one) Above -ground Underground
Swimming Pool
Size / gallons
Size / gallons
Private
Contents
Public/semi-private
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip