1995, 09-11 Permit App 95007192 GaragePROJECT NUMBER= 95007192 APPLICATION DATE= 09/11/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 421 S PINES RD PARCEL#= 45222.1728
ADDRESS= SPOKANE WA 99206
PERMIT USE= DETACHED GARAGE 20 X 24
PLAT#= 001847 PLAT NAME= OPPORTUNITY TERRACE ESTATES
BLOCK= LOT= ZONE= UR 3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 80 DEPTH= 220 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= BOETTCHER, LESLIE
STREET= 421 S PINES RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 922 0431
CONTACT NAME= GARY HANN PHONE NUMBER= 509 922 6995
BUILDING SETBACKS: FRONT= 100 LEFT= 60 RIGHT= 10 REAR= 10
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
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BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
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HEALTHDIST INCRE'�r• _� . -OT COVERAGE / LOi!/'C2,> G S,ee,f)Qjt/
COMMENTS:
*****************
CONTRACTOR= OWNER
*********** BUILDING PERMIT *******************************
PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 13 STORIES= 1
BLDG W X D = 20 X 24 SQ FT= 480 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE
U-1 VN 480 5760.00
PROJECT NUMBER= 95007192 APPLICATION DATE= 09/11/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 81.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 15.39
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 100.89 .00 100.89
100.89
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 100.89
******************************** THANK YOU ************************************
'What is the JOB SITE address?
APPLICATION INFORMATION
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ASSESSOR'S tax parcel number?
Legal description as it appears o the property deed
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OWNER or OCCUP,ANT
Mailing address
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Phone
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Who should we contact regarding this project?
What workve being done under this permit?
GC
Contractor
City, state
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Phone
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Zip
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Building hei 77
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Dimensions
�d K rLi
# of stories
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Mailing address
Main floor area
Unfinished basement area
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
VVhasis the cost of motir pro ect?
Manufactu'redHo!
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
1
Mailing address
orage Tani<
wlmming roo
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA 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.
To day's
date:
ORIGINAL SITE PLAN
Parcel number or
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