1996, 06-03 Permit App: 96004003 Tear off, Reroof I
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PROJECT NUMBER= 96004003 APPLICATION DATE= 06/03/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED.FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 10216 E 14TH AVE PARCEL#= 45204.3135
ADDRESS= SPOKANE WA 99206
PERMIT USE= TEAR OFF & RE-ROOF
PLAT#= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 30 LOT= ZONE= AGSUB DIST#= F
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 85 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= ASHTON, MARK J PHONE= 509 922 5647
STREET= 10216 E 14TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= KEVIN COX PHONE NUMBER=
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING CONTRACTOR LICENSE EXPIRED et-t .ALktt ctt zu '0 (i j` d- (4C)
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= K C"S REMODELING & REPAIR PHONE= 509 328 0148
STREET= 6508 N LYNWOOD ST
ADDRESS= SPOKANE WA 99208
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 2580.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 64.75
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 14.25
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
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PROJECT NUMBER= 96004003 APPLICATION DATE= 06/03/96 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 83.50 .00 83.50
83.50 .00 83.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
APPLICATION INFORMATION
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~What is the JOB SITE address? / ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
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What work is being done under this permit?
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Water district
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`_ Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
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Mailing address 2nd floor area Finished basement area
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Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project n Q�
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Manufactured Hom 'e 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 FireSafety
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'Stoirage Tanks 1Swimmin.g Pout
(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.
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