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1995, 06-16 Permit App: 95004346 Remodel PROJECT NUMBER= 95004346 APPLILATIUN I DATE= 06/16/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 10907 E 17TH AVE PARCEL#= 45282 .3909 ADDRESS= SPOKANE WA 99206 PERMIT USE= RE-ROOF/REPAIR DAMAGED TRUSSES, REMODEL PLAT#= 001857 PLAT NAME= OPPORTUNITY SUBURBS BLOCK= 1 LOT= 10 ZONE= UNCL DIST#= F AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= BRUGARD, KATHY PHONE= 509 924 1131 STREET= 10907 E 17TH AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= DOUG HUFFMAN PHONE NUMBER= 509 924 9202 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED /g {e.' / ( COMMENTS: ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= REMODEL= X ADDITION= CHANGE OF USE= DWELL UNITS= 1 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 RE-ROOF R-3 VN 4500.00 REMODEL R-3 VN 1000. 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 81.00 STATE SURCHARGE Y 4 .50 RESIDENTIAL SURCHARGE Y 14 .58 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING PROJECT NUMBER= 95004346 APPLICATION DATE= 06/16/95 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 100. 08 . 00 100. 08 100. 08 . 00 100.08 PROCESSED BY: DAWN DOMPIER PRINTED BY: DAWN DOMPIER ******************************** THANK YOU ************************************ /,7rL 2/ G OZ O/ 2v/Z2 ,Z ,vt6/e.) "9/i° 5 'AS7 1 i c 11i .,,Z. .‹Wi °//)T4 vim' n2 47r� j•-" -.41", mss/_- e, e/ ,t/ /.71 07/7 .41 OP .sr-7/'/'c ! -// /J)VW Cl )/43t 6 -(?\' A' ,,-,, ,: -,..5. ,1 ' 1 i) 6-1 Nt 4, 4) SSC3C:ACN, �. dd N SNi\tSCNc6 �, o 6S/ .\A\4vl dU Ni (1) .-9 \Ao ! ,_, 6-) i ).2, t, y--„, , -Ay,\. 45 ' d ri 0 QOM . 3,11,---- / 1S/ W 4 1 1 9