1996, 07-11 Permit App: 96005353 Roof Repair PROJECT NUMBER= 96005353 APPLICATION DATE= 07/11/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 10904 E 18TH AVE PARCEL#= 45282.4106
ADDRESS= SPOKANE WA 99206
PERMIT USE= REPAIR ROOF DAMAGE COUSED BY TREE HITTING HOUSE
PLAT#= 002393 PLAT NAME= SKYVIEW ACRES 1ST ADD
BLOCK= 1 LOT= 6 ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 70
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= WEIDNER, DAVID PHONE= 509 928 8364
STREET= 10904 E 18TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= MARK DOWNING PHONE NUMBER= 208 664 6404
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED CA", roti r f c '_ ; _1,/710,
COMMENTS: r 'rte( 714, p/' :`:
i �
******************************* BUILDING PERMIT ******,r**********,r*************
CONTRACTOR= DOWNING CONSTRUCTION PHONE= 208 664 6404
STREET= 1305 N HIGHWOOD LN
ADDRESS= COEUR D'ALENE ID 83814
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
REPAIR R-3 VN 4412.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 86.25
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 18.98
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 96005353 APPLICATION DATE= 07/11/96 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 109.73 .00 109.73
109.73 .00 109.73
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
• -335,2
APPLICATION INFORMATION 3
'What is the JOB SITE address? ASSESSORS tax parcel number?
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
/>1/ 669e,-iJ.v c �l g- 3 6 V
Mailing address City,state Zip
/69 D �.1 sr— �Dlf�tic
Who should we contact regarding this project? \ Phone
,t01-f,/1//. 5 (0.7 D `� J �v k y- �S1)5/
What work is being done der this perm ? /
� d/ /, e A vu s
(9-4<,Ze 'cv 79��� 2 ‘446 D^ T a� D�1- •
loge inspector dustnct ;:; Property s¢e Flight of way width..;.;:..
Water district
N m
Building
Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
Contractor license# rJOLU/? c r 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? -T, , , 1 a_
Manufactured m
Hoe 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 Safet
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
Feet 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.
Site Plan
11
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11
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments 0 Underground utilities
O Distances from center of roads, right of ways, 0 North arrow
private roads & property lines 0 Septic tanks & wells
O All existing & proposed buildings