1995, 09-07 Permit App: 95007087 Reroof e 7
PROJECT NUMBER= 95007087 APPLICATION , DATE= 09/07/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES FULL 1E ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12902 E 24TH AVE PARCEL#= 45273.0207
ADDRESS= SPOKANE WA 99216
PERMIT USE= RE ROOF RESIDENCE
PLAT#= 001223 PLAT NAME= HILLCREST ACRES 2ND ADD
BLOCK= 5 LOT= 7 ZONE= AGSUB DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= GOEHNER, ARTHUR PHONE= 509 927 8256
STREET= 12902 E 24TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DON HENDERSON PHONE NUMBER= 509 994 7286
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* BUILDING PERMIT *******************************
CONTRACTOR= HENDERSON ROOFING INC PHONE= 509 928 7254
STREET= 1003 S PINES
ADDRESS= SPOKANE WA 99206
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 2600. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 54 . 00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 10.26
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 68 .76 . 00 68 .76
68 .76 .00 68 .76
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
Legal description as it appears the property deed
OWNER o CUPANT Phone
Mailing ad ss City,state Zip
1740 Z z // ' °�Z�
Who should contact regarding this project? 792)
Phone
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What work is being n under th perm'
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Lone Inspector district:? ,Property size I{ight of way width
Water disttict: :..:. ::.
:
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Building Building height #of stories
Dimensions TOTAL SQUARE FOOTAGE
C
WA at n ra or license# Main floor area Unfinished basement area
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Mailing a •ress 2nd floor area • Finished basement area
4 u ,nn2 5
Architect/ ngneer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
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
Fue[ 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.
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