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1996, 08-21 Permit Application: 96006817 Residence to Adult Family HomePROJECT NUMBER= 96006817 APPLICATION DATE= 08/21/96 PAGE= 01 * * * * ** THIS IS NOT A PERMIT * * * * ** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 2519 S ADAMS RD PARCEL # = 45264.0122 ADDRESS= VERADALE WA 99037 PERMIT USE= CHANGE OF USE /REMODEL - RESIDENCE TO ADULT FAMILY HOME PLAT # = 002748 PLAT NAME= VERA BLOCK= LOT= ZONE= UNKN DIST # = F AREA= 00000002 F /A= A WIDTH= 316 DEPTH= 372 R /W= 40 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= MOSIER, ROBERT STREET= 2519 S ADAMS RD ADDRESS= VERADALE WA 99037 PHONE= 509 922 2192 CONTACT NAME= BOB MOSIER PHONE NUMBER= 509 922 2192 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED APPROVAL: J SHATTO DATE: 08/21/96 PLANNING 2ND DWELLING COMMENTS: c CC> LVL pL�YJ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** BUILDING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CONTRACTOR= OWNER PHONE= NEW= REMODEL= X ADDITION= CHANGE OF USE= X DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1 BLDG W X D = X SQ FT= SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION REMODEL LC VN 100.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 35.00 STATE SURCHARGE Y 4.50 CHANGE OF USE /SAFETY INSP Y 50.00 RESIDENTIAL SURCHARGE Y 7.70 r PROJECT NUMBER= 96006817 APPLICATION DATE= 08/21/96 PAGE= 02 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MECHANICAL PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT RANGE 1 10.00 CLOTHES DRYER 1 10.00 VENTILATING FANS 3 30.00 HOOD -TYPE II 1 10.00 * * * * * * * * * * * * * * * * * * * * * * * * * * * ** PLUMBING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS /BIDETS 1 6.00 TUBS 1 6.00 SINKS 3 18.00 DISH WASHERS 1 6.00 CLOTHES WASHER 1 6.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 97.20 .00 97.20 MECHANICAL PRMT 60.00 .00 60.00 PLUMBING PERMIT 42.00 .00 42.00 199.20 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO .00 199.20 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** THANK YOU ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **