1996, 06-19 Permit App: 96004626 Reroof PROJECT NUMBER= 96004626 APPLICATION DATE= 06/19/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17720 E 6TH AVE PARCEL#= 55192.9032
ADDRESS= GREENACRES WA 99016
PERMIT USE= RE ROOF RESIDENCE
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR 3.5 DIST#= G
AREA= F/A= WIDTH= DEPTH= R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= ADAMS, TIM PHONE= 509 922 0553
STREET= 17720 E 6TH AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= PRECISION CONST. PHONE NUMBER= 509 533 1808
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
t****************************** BUILDING PERMIT *******************************
CONTRACTOR= PRECISION CONSTRUCTION OF SPOK PHONE= 509 533 1808
STREET= PO BOX 11983
ADDRESS= SPOKANE WA 99212
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 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 ROOF R-3 VN 3900.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 75.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 16.61
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 96.61 .00 96.61
96.61 .00 96.61
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
******************************** THANK YOU ************************************
APPLICATION.WORKSHEET
General Information y
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L Building Information `
Dwelling units Occupant load Building height Stones
Building dimensions -total square tootage Req'd parking Handicap parlong Sprinkler system Critical Material
MHeating and insulation information (R—values)
SSgqUncovered/covered deck Heat source
irannaro foo
tage breakdown
[loot
Second[loot
Other Hat ceiling Vaulted ceiling Above grade wall
Finished basement Below grade wall Floor Slab on grade
Unfinished basement Door(u—value) Window Furnace eltioency
total window area %0l floor area
taarage
Contractor Information r
Burldin contractor Plumbing contractor/2PC/5 / ( )1 7RtCii fM Phone
Lice number Phone License number
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a ding address
Mailing address
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City.sta te,zip Z
Heat contactor Other Lender
License number Phone License number Phone
Mailing address Ma ding address
City,state,zip City.state,zip
PROJECT CONTACT' PHONE
Spokane County Division of Buildings