1995, 03-16 Permit App 95001475 AdditionPROJECT NUMBER= 95001475 APPLI(sATION DATE= 03/16/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 8207 E JACKSON AVE PARCEL#= 45072.6302
ADDRESS= SPOKANE WA 99206
PERMIT USE= ADDITION
PLAT#= 001868 PLAT NAME= ORCHARD AVENUE ADD (TR.1-228)
BLOCK= LOT= ZONE= UR-3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= 75 DEPTH= 132 R/W= 34
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = UNKNOWN
OWNER= CONNORS, MICHAEL E
STREET= 4006 N LOCUST RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 926 4470
CONTACT NAME= MICHAEL CONNORS PHONE NUMBER= 509 926 4470
BUILDING SETBACKS: FRONT= NA LEFT= 34 RIGHT= 23 REAR= 20
****************************** REVIEW INFORMATION *k*k**********tt***,t*t**,t****
DEPARTMENT REVIEW REQUUII,RENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
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******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 26 X 43 SQ FT= 400 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 400 23200.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 243.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 43.74
PROJECT NUMBER= 95001475 APPLICATION DATE= 03/16/95 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
GAS APPLIANCE<=100,000BTU
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
QUANTITY FEE AMOUNT
1 12.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
291.24
12.00
303.24
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00
.00
291.24
12.00
.00 303.24
******************************** THANK YOU ************************************
•
APPLICATION INFORMATION
What is the JOB SITE address?
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ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER OCCUPANT
or _ )Nr 0Phone '""-)
Mailing address 1 } City, state 1
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c Zip
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Who shou e contact regardi is project? Phone
What work is being done under this permit S' ��L.___
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Lone
Inspector district >,
-P rty size
Right of way width
Water district
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Building
Building height 5 t 1
# of stories
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Dimensions
Zb 4-.s
TOTAL SQUARE FOOTAGE
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WA State Contractor license #
Main floor area
'1
Unfinished ea')
Mailingaddress
�'2nd floor area
dished basement -are 4r5
Architect/Engineer
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Garage area
Size of decks, etc.
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e
What is the heat source? A s
What is the cost of your project?
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face? --------_______.
How high is the sign?
Year:
Make:
Installer
Contractor
We State Contractor license #-----_
Wa State Contractor license # `1---.
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Sprinkler Tent
_
Paint booth Fir larm Firebrprks display
_ _
VALUE
Contractor
Contractor
WA State Contractor license # -----,___.
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming
(Circle one) Above- and Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
ublic/semi-private
Contractor
Contractor
Wa State Cont ctor license #
WAS ontractor license #
Mailing address
Mailing address
a)
co)
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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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Site Plan
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Immit
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it
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
❑ All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells
Site Plan k�J
INCLUDE THE FOLLOWING
❑ All roadways, driveways & easments ❑ Underground utilities
❑ Distances from center of roads, right of ways, ❑ North arrow
private roads & property lines ❑ Septic tanks & wells
❑ All existing & proposed buildings