1994, 06-16 Permit App: 94005500 ResidencePROJECT NUMBER= 94400015500 APPLICATION DATE= 06/16/94 PAGE= 01
THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
SITE STREET= 12414 E 21ST AVE
ADDRESS= SPOKANE WA 99206
PARCEL#= 45272.9040
PERMIT USE= RESIDENCE/ATTACHED GARAGE - NATURAL GAS
PLAT#= 005170 PLAT NAME= SOUTHWOOD PINES (PUD)
BLOCK= 2 LOT= 2 ZONE= UR -3.5 DIST#= F
AREA= F/A= F WIDTH= 90 DEPTH= 1250 R/W= 50
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= GERARD CONSTRUCTION INC
STREET= I EP.O. BOX 30146
ADDRESS= SPOKANE 6WA 99223
CONTACT NAME= RON GERARD
BUILDING SETBACKS: FRONT= 30 LEFT= 17
PHONE= 509 448 9515
PHONE NUMBER= 509 448 9515
RIGHT= 8 REAR= 53
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
---------- --------------------------------------------------------------
BUILDING REVIEW COORDINATOR - R BURRIS
COMMENTS:
BUILDING PLAN REVIEW REQUIRED
APPROVAL: G. KREINKE
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: OK PER SITE PLAN R. BURRIS
BUILDING SEWER PERMIT PENDING
COMMENTS:
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
APPROVAL: 94FNA719 APPD S. JENNEN
DATE: 06/16/94
DATE: 06/15/94
DATE: 06/15/94
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-----------------------------------------------------
lau f t rnA
PROJECT NUMBER= 94005500
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
MISC FEES DUE
PLUMBING PERMIT
APPLICATION'
FEE AMOUNT
785.08
85.00
30.00
84.00
op -12 W10;
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: CHRISTY HARGRAVE
AMOUNT PAID
.00
.00
.00
.00
.00
DATE= 06/16/94 PAGE= 02
AMOUNT OWING
785.08
85.00
30.00
84.00
984.08
****************************** THANK YOU **********************#*************
APPLICATION WORKSHEET l�
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Project Information
ermtt Use New Addition Remodel cha ate 01 use
Building Information
Dwelling units
ccupant load
ut mg height
tones
Tlivo
Building dimensions
Total square rootage
Reqvd parking HandicapparLing
Sprinkler syn em Untical Material
uare [nota a breakdown
am oodr
U0
Uncovered/covereddeck
Se cond floor
311
Otber
PmLshed basement
grade wan
Untinished basement
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r
30
arage
550
Vl/N ��
Contractor Information
Healinx and insulation informalion R—values
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eat
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Flat ceiling
au ceiling
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PHONE
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Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
11
ADDRESS: 1-,
ZONE:
ROAD WIDTH'
FRONT 41-t.:% FLANKING:
comMEN�TS- �-- .
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