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2001, 10-16 Permit App: 01009147 CarportProject Number. 01009147 Inv: I Application Date: 10/16/01 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: permit Use: 20 X 16 CARPORT Contact: JA BSON, ROY "r62pA'L Address: 710 S FARR RDn) C - S - Z: SPOKANE,99206 Setbacks: Front 40F Left: 52 Right: 33 Rear: 32 Phone: (509) 928-2287 N 2rJ g/'it. 9 f0 Group Name: 1 Project Name: Site Information: Plat Key: 001368 Name: KELLOGG PARK SUB District F Parcel Number: 45202.15 Block: Lot: SiteAddress: 9625 E 8TH AVE Owner: Name: JACOBSON, ROY SPOKANE, WA 99206 Address: 710S FARR RD Location:: SPO SPOKANE, WA 99206 Zoning: UR -7 Urban Residential -7 Water District Hold: ❑ Area: 0 Sq Ft Width: 85 Depth: 151 Right Of Way (ft): 60 NbrofBldgs: I Nbr of Dwellings: I Review Information: Permits: Operator: CKF Printed By: CKF Print Date: 10/16/01 Project Number: 01009147 Inv: 1 Application Date: 10/16/01 Page 2 of THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Finn: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description RESIDENTIAL VALUATION STATESURCHARGE RESIDENTL4L SURCHARGE Notes: Payment Summarp. Permit Twe Building Pemut Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK I Y OR BLANK Permit Total Fees: Stories: 1 Total Project: So Ft Valuation 320 $1,440.00 320 $1,440.00 Fee Amoant $49.50 $4.50 $10.89 $64.89 Fee Amount Invoice Amount Building Characteristics Coast Category: New Group: U-1 Type: VN Nbr Of Dwellings: $64.89 Occupant Load: Building Height: 11 Bldg W x D: 20 x 16 Building Sq Ft: 320 Sprinklers: El Req Parking: Handicap Parking: Critical Materials: El This Application: Description Grp Tvoe Notes So Ft Valuation CARPORT U-1 VN 320 $1,440.00 Totals: 320 $1,440.00 Item Description RESIDENTIAL VALUATION STATESURCHARGE RESIDENTL4L SURCHARGE Notes: Payment Summarp. Permit Twe Building Pemut Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK I Y OR BLANK Permit Total Fees: Stories: 1 Total Project: So Ft Valuation 320 $1,440.00 320 $1,440.00 Fee Amoant $49.50 $4.50 $10.89 $64.89 Fee Amount Invoice Amount Amount Paid Amount Owine $64.89 $64.89 $0.00 $64.89 $64.89 $64.89 $0.00 $64.89 Disclaimer: Submittal of this application certifies the owner (or penon(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, aad agrees that all provisions of laws and/or regulations governing this type of work will he complied with. Subsequent issuanc a permit shall oat be contrued m be a permit for, or an approval of, any violation of any of the provisions of the code or of any of er ate or local laws or ordinances. Signature Operator: CKF Printed By: CKF Print Date: 10/16/01 s 1-c Iso, the purpose of obta n ^,ulldir, r^ in is a true and coned mprese a icn oft pis,fl ! incwn property lines/dmens:ons, cu... Imessnuctu•cs and easements have Seca id,ti ie: Fso Inmenr ,et lantls, bodlesd mater, cp slopes or the cnn al areas. Signe.. Date: _ %DDRc55_�Z�J ZONE ROAD N\ IDT 11 (�f) IPU FRONT FLAWNC�'� COMMEN S REQ 1E•:� er s�. L. a7.u.'t