1995, 09-12 Permit App: 95007236 Addition L �
PROJECT NUMBER= 95007236 APPLICATION DATE= 09/12/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 5723 E 16TH AVE PARCEL#= 35234.0310
ADDRESS= SPOKANE WA 99212
PERMIT USE= RESIDENCE ADDITION - FOYER, DECK, & WORKSHOP
PLAT#= 002396 PLAT NAME= SLOAN'S ADD
BLOCK= 2 LOT= 10 ZONE= UR-3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 136 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= OWEN, FRANK W, II PHONE= 509 533 1649
STREET= 5723 E 16TH AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= FRANK OWEN PHONE NUMBER= 509 921 2743
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 09/12/95
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 18 STORIES= 1
BLDG W X D = 11 X 20 SQ FT= 440 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
COV DECK VN 60 540. 00
RES ADD R-3 VN 220 12760. 00
WORKSHOP R-3 VN 220 2640. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 171.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 32 .49
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
r �
PROJECT NUMBER= 95007236 APPLICATION DATE= 09/12/95 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 207. 99 . 00 207 . 99
207 . 99 . 00 207 . 99
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
APPLICATION INFORMATION
"What is the JOB SITE address? ASSESSOR'S tax parcel number?
5)a3 ,E /b n"A it
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
cS4ve Ocvrai/ 2t 533 -/6471C)
Mailing address City,state Zip
5 )L3 F / )1Ar, SA), U (59z! Z
Who should we contact regarding this project'? Phone
What work is being done under this permit?
' A400/-1-7001,1
hone Inspector district Property size
N
Water district .. .......
0.
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Building wlding height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
2zc zzs
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
0
What is the heat source? What is the coat of your project?
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J / J/4"(- ,j O�
Manufactured Home +S� n
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 Swimming''Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size I 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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