1995, 10-23 Permit App: 95008731 Addition PROJECT NUMBER= 95008731 APPLICATION DATE= 10/23/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 10816 E 9TH AVE PARCEL#= 45213. 9248
ADDRESS= SPOKANE WA 99206
PERMIT USE= 2ND FLOOR BATHROOM ADDITION
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR-3.5 DIST#= F
AREA= 00000001 F/A= A WIDTH= DEPTH= R/W=
# OF BLDGS= # DWELLINGS= 10 WATER DIST =
OWNER= DEL, TORO AUDEL R PHONE= 509 922 1634
STREET= 10816 E 9TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= AUDEL TORO PHONE NUMBER= 509 922 1634
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 24 STORIES= 2
BLDG W X D = 9 X 13 SQ FT= 117 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 117 6786. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 90. 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 18 . 00
PROJECT NUMBER= 95008731 APPLICATION DATE= 10/23/95 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
VENTILATING FANS 1 10. 00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6. 00
SHOWERS 1 6. 00
SINKS 1 6. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 112 .50 . 00 112 .50
MECHANICAL PRMT 10. 00 . 00 10. 00
PLUMBING PERMIT 18. 00 . 00 18 . 00
140. 50 .00 140.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
l 3. °I
Legal description as it appears on the property deed
OWNER or OCCUPANT � Phone
Mailing addreses � City,state Zip
- /) 2kC'ti £ t'J/t gg20�
Who should we contact regarding this project? Phone
What work is being done under this permit?
Lone t� Inspector district Property size Hight of way width
y YL E `hs N
Water district .:
Y Y
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
,3 I1"2
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
Manufactured Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent
Paint booth_ Fire Alarm _ Fireworks display _
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
Fuel Storage Tanks Swimming Pool
........ . ... ................... .
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
Public/semi-private
Contractor Contractor
Wa State Contractor license# WA State Contractor license#
Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.