1995, 06-21 Permit App 95004250 Basement to Nursery SchoolPROJECT NUMBER= 95004250 APPLICATION DA': 06/21/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 5920 E 9TH AVE PARCEL#= 35243.0729
ADDRESS= SPOKANE WA 99212
PERMIT USE= CHANGE DAYLIGHT BASEMENT FOR NURSERY SCHOOL
PLAT#= 000344 PLAT NAME= CENTRAL PARK ADD
BLOCK= LOT= ZONE= UR-3.5 DIST#= E
AREA= F/A= F WIDTH= 69 DEPTH= 135 R/W= 60
# OF BLDGS= # DWELLINGS= 1 WATER DIST = SPOKANE, CITY OF
OWNER= HICKS, MITCHELL & LUCENETTE
STREET= 5920 E 9TH AVE
ADDRESS= SPOKANE WA 99212
PHONE= 509 535 7817
CONTACT NAME= LUCENETTE HICKS PHONE NUMBER= 509 535 7817
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING REVIEW COORDINATOR - J LARSON
COMMENTS:
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING ZONING/SITE REVIEW
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= 24 BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 95004250 APPLICATION DATE= 06/21/95 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
DAYCARE E-3 VN 1500.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 35.00
PLAN REVIEW FEE Y 22.75
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 10.40
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RANGE 1 10.00
GAS PIPING 1 1.00
HOOD -TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
SINKS
DISH WASHERS
PERMIT TYPE
1
1
6.00
6.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 72.65 .00 72.65
MECHANICAL PRMT 21.00 .00 21.00
PLUMBING PERMIT 12.00 .00 12.00
105.65
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 105.65
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
71 Sp M C P (Y �2?/Z
Legal description as it appears on the property deed
OWNER or OCCUPANT
Phone
//,uce7? P Is
Mailing address City, state
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Who should we contact regarding this project?
t- U C Q ft? CAS
Phone
Zip
What work is being done under this pe it?
m
H
V
C
Building
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
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
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 Tanks
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
imming roof
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.