1995, 05-04 Permit App: 95002960 Carport / N PROJECT NUMBER= 95002960 APPLICATION DATE= 05/04/95 PAGE= 01
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****** THIS IS NiOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 10122 E 15TH AVE PARCEL#= 45204 .3934
ADDRESS= SPOKANE WA 99206
PERMIT USE= CARPORT (REPLACEMENT OF GARAGE)
PLAT#= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 38 LOT= 2 ZONE= UR-3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 150 R/W= 60
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= SKINNER, LINDA PHONE= 509 924 5748
STREET= 10122X 1E 615TH AVE
ADDRESS= SPOKANE OWA 99206
CONTACT NAME= JAY HOLDER PHONE NUMBER= 509 928 0264
BUILDING SETBACKS: FRONT= NA LEFT= 1 RIGHT= NA REAR= 7 . 9
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
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BUILDING PLAN REVIEW REQUIRED / ,
COMMENTS: (cm
BUILDING SETBACK REVIEW REQUIRED }.-C
COMMENTS: L (( ZGL_
PLANNING INADEQUATE FLANKING ST SETBACK /� �'� J
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******************************* BUILDING PERM **** ****** * *********** **** L
CONTRACTOR= OWNER PHONE= to
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 10 STORIES= 1
BLDG W X D = 12 X 24 SQ FT= 288 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
CARPORT M-1 VN 288 2592 . 00
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PROJECT NUMBER= 95002960 APPLICATION , DATE= 05/04/95 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 54 . 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 9.72
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 68 .22 . 00 68 .22
68 .22 . 00 68 .22
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number? 'f I
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Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
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Mailing address City,state Zip
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Who should we contact regarding this project? Phone
JAS /- Dar=--e--- 9'aS-da4,Li
What work is being done under this permit?
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Lone Inspector distrtce Property size tight of way wi '
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Building uild ng #of stories
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Contractor Dimensions 'TOTAL SQUARE FOOTAGE
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WA State Contractor liven # 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? t3aco:
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
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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.
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