2000, 10-23 Permit App: 00009662 DuplexProject Number: 00009662 Inv: 1
Application Date: 10/23/2000 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: WEST 1/2 OF DUPLEX - FORCED AIR GAS
Setbacks: Front 25 Left: 5 Right: 10 Rear: 20+
Site Information:
Plat Key: 006123 Name: DISHMAN COMMONS
Parcel Number: 45291.9121 Block: 3 Lot: 14B
qic
SiteAddrdss 991 E 17TH LN Owner: Name: NORTHWEST REGIONAL FAC
SPOKANE, WA USA 00000 Address: 525 E MISSION AVE
Location:: SPO \ Y p i SPOKANE, WA 992024824
Zoning: UNKN) Unknown
Water District:
Contact: NORTHWEST REGIONAL FACILITATO
Address: E. 525 MISSION
C - S - Z: SPOKANE, WA 99202
Phone: (509) 484-6733
Group Name:
Project Name:
District: F
Hold: i=_1
Area: 4,500 Sq Ft Width: 45 Depth: 100 Right Of Way (ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING Site Plan Review ' Released By: D - a —
_e_d_ jt
old Reasons: Ax1,1 Oa, (f i2. d iii _
Al IA) C -Q 1 d (�c3/ `�V
Review
Permit Conditions:
BUILDING Plan Review
Mold-Rgasens:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
Approach / Drainage
rReleased By:
Released By:
4! -.?S - mc,
UTILITIES Sewer Review Released By:
Hold Reaso i4T( LIT (c S 23\J At 6o- 6 (Gip
Permit Conditions:
PLANNING Landuse/Zoning `" /a Released By:
Hold Reasons:
Permit Conditions:
Permits:
Zo tv IN , 5e , 7/e; c t t S �j'll /Vecrra n/
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Project Number: 00009662 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/23/2000 Page 2 of 3
Building Permit
Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI
Address: 525 E. MISSION AVE Phone: (509) 484-6733
SPOKANE, WA 99202
Const Category: New
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 16 Stories: 1
Bldg W x D: 30 x 42 Building Sq Ft: 1082 Sprinklers: U
Req Parking: 0 Handicap Parking: 0 Critical Materials: n
This Application: Total Project:
Description Grp Type Notes So Ft Valuation So Ft Valuation
COV DECK R-3 VN 112 $1,059.52 112 $1,059.52
RESIDENCE R-3 VN 1,082 $67,084.00 1,082 $67,084.00
Building Characteristics
Group: R-3 Type: VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 1,194 $68,143.52 1,194 $68,143.52
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$698.75
$4.50
$153.73
$856.98
Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI
Address: 525 E. MISSION AVE Phone: (509) 484-6733
SPOKANE, WA 99202
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
Contractor: NORTHWEST REGIONAL
Address: 525 E. MISSION AVE
SPOKANE, WA 99202
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
2 NUMBER OF
Permit Total Fees:
Plumbing Permit
Firm: NORTHWEST REGIONAL FACILI
Phone: (509) 484-6733
Fee Amount
$10.00
$12.00
$2.00
$20.00
$44.00
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$12.00
$48.00
Project Number: 00009662 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/23/2000 Page 3 of 3
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 10/23/2000
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:.:.
Fee Amount
$856.98
$44.00
$48.00
$948.98
Invoice Amount
$856.98
$44.00
$48.00
$948.98
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$856.98
$44.00
$48.00
$948.98
ADDRESS CM E /1 LA)
ZONE
ROAD WIDTH 3
FRONT 5 FLANKING
COMMEN
REVIEW
,00'001
R'
r
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes or other critical areas.
Signed:
Date:
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