1996, 02-27 Permit App 96000962 BathroomPROJECT NUMBER= 96000962 APPLICATION DATE= 02/27/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12912 E MISSION AVE PARCEL#= 45152.0106
ADDRESS= SPOKANE WA 99216
PERMIT USE= FINISH BATHROOM IN BASEMENT
PLAT#= 001880 PLAT NAME= OWENS SUB
BLOCK= 1 LOT= 6 ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 246 DEPTH= 530 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 60 WATER DIST =
OWNER= SAUR, KURT & MARY
STREET= 12912 E MISSION AVE
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT NAME= BRIAN DANIELS PHONE NUMBER=
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************
REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= PACIFIC NORTHWEST CONST
STREET= 5805 E SHARP AVE 1B
ADDRESS= SPOKNE WA 99212
PHONE= 509 534 9358
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 3500.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 75.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 16.61
PROJECT NUMBER= 96000962 APPLICATION DATE= 02/27/96 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= PACIFIC NORTHWEST CONST
STREET= 5805 E SHARP AVE 1B
ADDRESS= SPOKNE WA 99212
ITEM DESCRIPTION
VENTILATING FANS
PHONE= 509 534 9358
QUANTITY FEE AMOUNT
1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= PACIFIC NORTHWEST CONST
STREET= 5805 E SHARP AVE 1B
ADDRESS= SPOKNE WA 99212
ITEM DESCRIPTION
PHONE= 509 534 9358
QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6.00
SHOWERS 1 6.00
SINKS 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 96.61 .00 96.61
MECHANICAL PRMT 10.00 .00 10.00
PLUMBING PERMIT 18.00 .00 18.00
124.61
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 124.61
******************************** 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
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OWNER or OCCUPANT
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Mailing address
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Phone
City, state
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Who should we contact regarding this project?
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What work is being done under this permit?
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Phone
(
Zip
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B
uildin
Building height
# of stories
Contractor
Vac l Cc till.
WA State Contractor license #
Phc -nco GS L F
Mailing address
Cat-Dl�
Architect/Engineer
tloA2
Dimensions
Main floor area
2nd floor area
TOTAL SQUARE FOOTAGE
Unfinished basement area
Finished basement area
Garage area
Size of decks, etc.
What is the heat source?
Ce12-H 1
What is the cost of your project? — i--
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety.
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel <Storage Tan
(Circle one) Above -ground
Underground
Contents of tank(s)
Size / gallons
Swimming Po
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
A State Contractor license #
Mailing address
Mailing 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 programs or activities.