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1996, 06-03 Permit App: 96004003 Tear off, Reroof I K 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 . , ti 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 �'. 'OC ~What is the JOB SITE address? / ASSESSOR'S tax parcel number? /D 2.. 1(0 `� Legal description as it appears on the property deed OWNER or OCCUPANT Phone m i K sA K Mailing address City,state Zip /02-/ t / -741-7 f -, --'.!'i 5poei4-A)&_, co-i - .9- _6)C., Who should we ntact regarding this project? Phone What work is being done under this permit? [one Inspector district ;: ;z Property size.-, ::„:::: :omioa]:] a=];-:Hight of way width Water district a a a) omH:iu,iiiii:gii.: um.:•:•:?:u :naii:iiiii:iii:iii A Building Building height #of stories `_ Contractor Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license# Main floor area Unfinished basement area lLCS Pe/0-- (:)Q & G, F Mailing address 2nd floor area Finished basement area &Cod ynr,L)00 Architect/Engineer Garage area Size of decks,etc. What is the heat source? What is the cost of your project n Q� U 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. ,.....,, ,"?,•;',.,i,,,..„, ' • . - %- '''''',7":-'• ,--,-- --- l',..,,,..;,..7,',4i.?•' ,...f.' --',-- --,,,---,_- ,•-,„: 4:..1',., ',;-::,--1.4..f•;,''' 't',-•,;-.''''', , ' ,,, -'-• ,--,o”-•••••,.,.....:-. • , .- 'P - t „,• . , -',.:*;;,•,:,,- f, ....-"'-'-":-.‘‘.; '.-' - - •-,'-',-"...,' ....., -- --- Ch -).,, artie RntoefgLisatrabotiro&n SectionIndusies ; : REGISTRATION VERIFICATION ION ..,- ContractorDeP PO Box 44450 Olympia WA 98504-4450 TEMPORAR y FAX(360)902-5228 To From „. Olympia Headquarters .D Li 44;4-X'4.i.:.•;4 ' -'.-4''* 1 ...... , C.r) , ,1-;;;ti'r 'f.'3,4'.':: •C ..„.., c) R egistered nar,” r(---,, • 1 'a L- Regisn-ation expires _ = / il ,'/ --- –.-. -- --)\/—6 Registration,num,1354.2_ (7--- q' (( . __-) , '.-4, ) 1c.,:-:-.-.. .....-, ./ /, ,._- , ,.....,....— , . Certificate of d until you receiveyour ,....1.-.6; Contractor: Your . . this record 3 weeks Please keep to W • r•.3 • , 4.4--..,, '13 ' within 2 should be received. . -.3 .....3. Registration will be sent from the Olympia office and .11,?: 7._ .. ..., ,., J ,,,,,, fvou 1 (-) _\.' 1 r ' ... ,„.., ... Certificate of Registration. Receinf expires 1 _ . i riszPi\k-,./.7 (c.cfrtkl. . ,,,, , .„. . . ,.. F625-036-000 registration verification 2-95 _. .• t I ,