1995, 04-26 Permit App: 95002667 Patio Cover PROJECT NUMBER= 95002667 APPLICATION DATE= 04/26/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12610 E 15TH AVE PARCEL#= 45223.1402
ADDRESS= SPOKANE WA 99216
PERMIT USE= COVER OVER EXISTING PATIO
PLAT#= 001345 PLAT NAME= JORGENS ADD
BLOCK= 1 LOT= 2 ZONE= AGSUB DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= COLENSO, DON & JUDY PHONE= 509 922 4014
STREET= 12610 E 15TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DAVID GERMAIN PHONE NUMBER= 509 326 5453
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED C t-/.
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= DAVID W. GERMAIN CONSTRUCTION PHONE= 509 326 5453
STREET= 2334 W GARLAND AVE
ADDRESS= SPOKANE WA 99205
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = 20 X 12 SQ FT= 240 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
COV DECK R-3 VN 240 2160. 00
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
it
PROJECT NUMBER= 95002667 APPLICATION DATE= 04/26/95 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 68.22 . 00 68 .22
68.22 . 00 68.22
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
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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Mailing address City,state Zip
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Who should we contact regarding this project? Phone
What work is being done under this permit?
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Lone nspector distnci Property size l(tght of way width
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Budding Building height #of stories
Contractor ::............. Dimensions TOTAL SQUARE FOOTAGE
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WA State Contractor license# Main floor area Unfinished basement area
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ailing address 2nd floor area Finished basement area
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Architt Engineer L.pf.V
Garage area Size of decks,etc % -
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What is the heat sourcel/� What is the cost of your project) _
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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
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 ISwimming 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
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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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SIGNATURE
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES
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