1995, 05-02 Permit App 95002863 Re-Construct GaragePROJECT NUMBER= 95002863 APPLICATION
DATE= 05/02/95 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 4 CAR GARAGE
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= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 2 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 M-1 VN 4500.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 72.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 12.96
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 95002863 APPLICATION DATE= 05/02/95 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 89.46 .00 89.46
89.46
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 89.46
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
What is theJOB SITE address? ASSESSOR'S tax parcel number?
12 Z//3 E,,4+NSr ELDSaXA E- WA.
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
gib- tT MN- vs�r- 2 & S/7
Mailing address City, state Zip
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Who should we contact regarding this project? Phone
JCE Zc`F. '' L'SKFN
at work is being done nder this permit?
E co �V 5172v e-7-&- Y' - Qm F' DF y CSAR 4 �1 Q V C
one
Inspector district
Froperty sizeig
o way wt
Water district
Building
Building height
# of stories
Contractor ,, ^^
( ) K A4P
Dimensions
TOTAL SQUAREAG
A State Contractor gcense #
Main floor area
Unfinished basement area
Mailing address
2nd fiber area
Finished basement area
Architect/ ngineer
Garage area
Size of decks, etc.
What is the heat source?
What is the coat 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 #
We State Contractor license #
Meiling 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
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s) Size / gallons
ContractorPublic/semi-private
Contractor
a State Contractor license#
A State Contractor license #
Mailing address
Mailingg 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 Programa or activities.