1996, 10-15 Permit App: 96009020 Reroof PROJECT NUMBER= 96009020 APPLICATION DATE= 10/15/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 10815 E 9TH AVE PARCEL#= 45213. 9028
ADDRESS= k - • _ __ • �� 6
PERMIT USE= NEW ROOF ON RESIDENCE
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= GA DIST#= F
AREA= 00000001 F/A= F WIDTH= DEPTH= R/W=
# OF BLDGS= 2 # DWELLINGS= 10 WATER DIST =
OWNER= THEIERL, FRED PHONE= 509 928 6145
STREET= 10815 E 9TH AVE
ADDRESS= NINE MILE FALLS WA 99026
CONTACT NAME= VAN LEUVEN CONSTRUCTION PHONE NUMBER= 509 624 0094
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
/
BUILDING PLAN REVIEW f -A ^^
to •
ma y (\k
COMMENTS: � / CV �' �
******************************* BUILDING PERMIT *******************************
CONTRACTOR= VAN LEUVEN CONST PHONE= 509 624 0094
STREET= 707 W 20TH AVE
ADDRESS= SPOKANE WA 99203
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-ROOF R-3 VN 17000. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 215.25
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 47.36
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 96009020 APPLICATION DATE= 10/15/96 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 267 . 11 . 00 267 . 11
267.11 .00 267 . 11
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************