1995, 06-23 Permit App: 95004599 Addition PROJECT NUMBER= 95004599 APPLCATIIN DATE= 06/23/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 7615 E 10TH AVE PARCEL#= 45193 . 0206
ADDRESS= SPOKANE WA 99206
PERMIT USE= LIVING ROOM ADDITION
PLAT#= 000190 PLAT NAME= BEVERLY HILLS 1ST ADD.
BLOCK= 1 LOT= 6 ZONE= UR 3 .5 DIST#= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = UNKNOWN
OWNER= PETERSON, RON PHONE= 208 664 3408
STREET= 7615 E 10TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON PETERSON/JAKE WIEMER PHONE NUMBER= 208 664 3408
BUILDING SETBACKS: FRONT= EXIS LEFT= 28+ RIGHT= 41+ REAR= 20+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUIL LAN REVIEW REQUIRED /
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COMMENTS: /(_ � ( l . Q {�j�j c C G 'l 2 �+
r
BUILDING SETBACK REVIEW REQUIRED r ,
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE ///G li ' •- Y-
COMMENTS: /
******************************* BUILDING PERMIT *******************************
CONTRACTOR= DREAM BUILDERS CONSTRUCTION PHONE= 208 664 3408
STREET= 412 W 12TH ST
ADDRESS= POST FALLS ID 83854
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 13 STORIES= 1
BLDG W X D = 13 X 15 SQ FT= 276 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
DECK R-3 VN 200 1400 . 00
RES ADD R-3 VN 276 16008 . 00
PROJECT NUMBER= 95004599 APPLICATION DATE= 06/23/95 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 189.00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 34 . 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 227 .52 . 00 227 .52
227 .52 .00 227.52
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
******************************** THANK YOU ************************************
. . 1
PROJECT NUMBER= 95004599 APP =" ION DATE= 06/23/95 PAGE= 01
****** THIS I: NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 7615 E 10TH AVE PARCEL#= 45193. 0206
ADDRESS= SPOKANE WA 99206
PERMIT USE= LIVING ROOM ADDITION
PLAT#= 000190 PLAT NAME= BEVERLY HILLS 1ST ADD.
BLOCK= 1 LOT= 6 ZONE= UR 3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = UNKNOWN
OWNER= PETERSON, RON PHONE= 208 664 3408
STREET= 7615 E 10TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON PETERSON/JAKE WIEMER PHONE NUMBER= 208 664 3408
BUILDING SETBACKS: FRONT= EXIS LEFT= 28+ RIGHT= 41+ REAR= 20+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED 0 - ,/,s
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE (")G2 - )00-J C Co
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= DREAM BUILDERS CONSTRUCTION PHONE= 208 664 3408
STREET= 412 W 12TH ST
ADDRESS= POST FALLS ID 83854
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 13 STORIES= 1
BLDG W X D = 13 X 15 SQ FT= 276 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
DECK R-3 VN 200 1400. 00
RES ADD R-3 VN 276 16008 . 00
(Circle one) Above-ground Under round 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.
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What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as g appears the pr rty deed
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OWNER(or OCC PAT Phone
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Who should we contact regarding this project? Phone
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WA State Contractor
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Mailing address (� 2nd floor ea Finished basement area
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Architect/Engineer Garage area Size of decks,etc.
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Manufactured Home . Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
We State Contractor license# Wa State Contractor license#
Mailing address Mailing address
RelocationFire 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 ntractor
Wa State Contractor license# A 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.
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