1993, 08-24 Permit App: 93007407 Addition PROJECT NUMBER= 93007407 APPLICATION DATE= 08/24/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13224 E 6TH AVE PARCEL#= 45221. 0909
ADDRESS= SPOKANE WA 99206
PERMIT USE= RESIDENCE ADDITION - DINING ROOM & UTILITY ROOM
PLAT#= 000279 PLAT NAME= BURCHELL ADD.
BLOCK= 1 LOT= 7 ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 81 DEPTH= 120 R/W= 50
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= ELMORE, CARL D PHONE= 509 926 6041
STREET= 13224 E 6TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= CARL ELMORE PHONE NUMBER= 509 926 6041
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= 5 REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
IbgBUILDING PLAN REVIEW REnUIRED (?. _ U ) `I.v Q-S-'
COMMENTS: • e _"
BUILDING SETBACK REVIEW REQUIRED
COMMENTS: C S CJ v "' 4 -T
''''----\
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 9 STORIES= 1
BLDG W X D = X SQ FT= 504 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 504 20664 . 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 216. 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 38 . 88
PROJECT NUMBER= 93007407 APPLICATION DATE= 08/24/93 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= PHONE=
STREET=
ADDRESS=
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= PHONE=
STREET=
ADDRESS=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 259. 38 . 00 259.38
259.38 . 00 259.38
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
APPLICATION WORKSHEET
General Information 1
Job address (� Parcel number
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Owner • Phone
Cu p./ 1/4 e y GD
Mailing addr ss
/3 ,9 2 y (, '7'i
City S State a/o
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Site Information
Legal Description
Property size WaterUistnct ` Number a: Dwellings Buildings
l0U('.^ir (� /ec
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Project Information
Permit Use New Addition Remodel Change of use I
Building Information `
Dwelling units Occupant load Building height Stones i
/.
Building dimensions lotal square tootage Req'd parking Handicap parking Sprinkler system Critical Material
Square footage breatd n Heating and insulation information (R—values)
am(loot Uncovered/covered deck Heat source L_
SO / / U✓Noc e
Second lloor Other Flat ceiling Vaulted ceiling Above grade wall
Finished basement Below grade wall Floor Slab on grade
Unfinished basement Door(u—value) Window Furnace etticency
Garage total window area %of floor area
Contractor Information'
Building contractor Plumbing contractor
License number Phone License number Phone
Mailing address Mailing address
City,state,zip City,state,zip
Heating contractor Other/Lender
License number Phone License number Phone
Mailing address Mailing address
Cf City,state,zip City,state,zip
PROJECT CONTACT PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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