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1994, 06-16 Permit App 94005613 Re-Roof DuplexPROJECT NUMBER= 94005613 APPLICATION • DATE= 06/16/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 12113 E MANSFIELD AVE PARCEL#= 45094.0435 ADDRESS= SPOKANE WA 99206 PERMIT USE= RE-CONSTRUCTION/RE-ROOF OF DUPLEX PLAT#= 002018 PLAT NAME= PINECROFT BLOCK= 33 LOT= ZONE= UR-22 DIST#= H AREA= 00000000 F/A= A WIDTH= DEPTH= R/W= # OF BLDGS= # DWELLINGS= WATER DIST = UNKNOWN OWNER= BET, ED FAMILY TRUST STREET= 6514 STONE LODGE A ADDRESS= NINE MILE FALLS WA 99026 PHONE= 509 276 5177 CONTACT NAME= ZOE HAUSKEN PHONE NUMBER= 509 276 5177 BUILDING SETBACKS: FRONT= UNK LEFT= UNK RIGHT= UNK REAR= UNK ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT bah; .h BUILDING REVIEW COORDINATOR - J—N COMMENTS: ./// 7 47 BUILDING PLAN REVIEW REQUIRED /I COMMENTS: 7S �r % eOJcJ 04! S,) ///747 ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= REMODEL= X ADDITION= CHANGE OF USE= DWELL UNITS= 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 REMODEL R-3 VN 4000.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 63.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 11.34 PROJECT NUMBER= 94005613 APPLICATION DATE= 06/16/94 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 78.84 .00 78.84 78.84 PROCESSED BY: CAROL BRADBURN PRINTED BY: CAROL BRADBURN .00 78.84 ******************************** THANK YOU ************************************ APPLICATION WORKSI-IEET L General Information ob address 1Z,I3 -/z//X .471.9 Owner D ,'6T �flr�/ T�Jsi Walliiig address / —City .s'pv2cry, State -Parcel number l 9y, 76—.26-772 9ik'e5.. ©oo no Site Information i Legal Description rroperty size •Lone; Water District -Inspector Number of: Dwellings timid ings -Road width Project Information [Permit Use po n C n firn `Kew Addition Remodel 1 Change of use Building Information Dwelling units \ "Cl (v"rIPy J Occupant load "Ibtal Building g het ht Stones 7� tiuildingdimensions square footage -Req'dparking randtcapparking Sprtnl-krsystem Critical Matenal Square footage breakdown sin floor Uncovered /covered deck Second floor Other Finished basement Unfinished basement U a ra ge Contractor Information Heatin, and insulation information R—nluea 'eat source iiiimiiiii D oor a —n ue " in • ow urnsee a Ice racy ota win. owarea aluildutg contractor O14)A/ 64, Plumbing contractor /- License number Mailing Phone License number Phone address City, Mailing address state, zip City, state, zip Heating contractor A Ai /A.' Other / Lender License number Phone -License number Phone aiT�'adress Mailing address City, state, zip City, state, zap PROJECT CONTACT NAJsK6,✓ I'IIONI. a 7 i s� 77 Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 (509) 456-3675