1995, 08-15 Permit App: 95006324 Re-Roof PROJECT NUMBER= 95006324 APPLICATION DATE= 08/15/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 7101 E 10TH AVE PARCEL#= 35244 . 0709
ADDRESS= SPOKANE WA 99212
PERMIT USE= RE ROOF RESIDENCE
PLAT#= 002955 PLAT NAME= WOODLAWN PARK
BLOCK= 7 LOT= 13 ZONE= UR 3. 5 DIST#= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 40
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= HOLCOMB, RAY PHONE= 509 926 2760
STREET= 7101 E 10TH AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= RAY HOLCOMB PHONE NUMBER= 509 926 2760
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
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 550 . 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 35 . 00
STATE SURCHARGE Y 4 . 50
RESIDENTIAL SURCHARGE Y 6. 30
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 45 . 80 . 00 45 . 80
45 . 80 . 00 45 . 80
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
******************************** THANK YOU ************************************
_jr/lhi-13-2--
APPLICATION INFORMATION A 7 J_ /3
What is the JOB SITE address? - ASSESSOR'S tax parcel number?
t 7 Ar''' ! `x.507/Y• 7,7
Legal description as it appears on the property deed
OWNER or CCUPANT Phone
Mailing address City,state Zip
F t.3: /3 f ( 6)r9 c?' / ( -
Who should we cont t regarding this roject? Phone
7�7L 57 'C)
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What work s eing Clone under this permit?
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Lone Inspector district Property size Right of way width
to a)
H y
Water district
CD
o- a
.. .+i.:
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
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 your project?
ite
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 I 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.