1994, 03-28 Permit App 94002505 AdditionPROJECT NUMBER= 94002505 APPLICATION
DATE= 03/28/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2512 N ELIZABETH RD PARCEL#= 35121.5402
ADDRESS= SPOKANE WA 99212
PERMIT USE= RESIDENCE ADDITION - BEDROOM
PLAT#= 001875 PLAT NAME= ORCHARD AVENUE ADD SUB.BLK.165
BLOCK= LOT= ZONE= UR-3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= PATTERSON, JIM & DOLLY
STREET= 2512 N ELIZABETH RD
ADDRESS= SPOKANE WA 99212
PHONE= 509 926 1831
CONTACT NAME= JIM PATTERSON PHONE NUMBER= 509 926 1831
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= 10 REAR= EXIS
****************************** REVIEW INFORMATION *:t***************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
*******************************
CONTRACTOR= OWNER
NEW= X
DWELL UNITS=
BLDG W X D =
REQ PARKING=
BUILDING PERMIT
REMODEL=
1 OCCUP. LD=
9 X 10 SQ FT=
#HANDICAP=
DESCRIPTION GROUP
PHONE=
ADDITION= CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
90 SPRINKLER= N
CRITICAL MAT= N
TYPE SQ FT VALUATION
RES ADD R-3 VN
90 3780.00
PROJECT NUMBER= 94002505 APPLICATION DATE= 03/28/94 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 63.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 11.34
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 78.84 .00 78.84
78.84
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 78.84
******************************** THANK YOU ************************************
APPLICATION WORKSHEET
General Information
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Job address
Owner
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City
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State
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Site Information
Legal Descnption
Property size
Water District
Number of: Dwellings
Buildings
Inspector::;:, .. ..
Road width v�
Project Information
—New
Building Information
Ad/Qo1gp Remodel
Change of use
Dwelling units
Occupant load
-Build height
Stones
Building dimensions /
4'1 ' X /,*&,/
I otal square tootage
eq'dparking
Handicap parking
Spnnklersystem
Cnticat Statenal
Squarc footage breakdown
Main floor
Uncovered /covered deck
Second floor
Other
Finished basement
Unfinished basement
Garage
1
Contractor Information
Heating and insulation information (R—values)
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Platte. ing
vats t ceiling
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f��C(( vegradewall
Below grade wall
Floor
Slab on grade
-Furnace efficency
Door (u—value)
Window
I otaI window area
-% of floor area
Biuld g c t ctor
/
Plumbing contractor
aense nude er
P one
License number
Phone
Mailing address
Ma ding address
City, state, zip
City. state. zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
ai mga ress
Mailing address
City, state, zip
City. sta tc, zip
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Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
ADDRESS: N I a EU
ZONE: 1 L S'
f AD MOTH: 4„°
FRONT: EkfT
COMMENTS:
REVIEWED
FLANKING:
1
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