1995, 08-09 Permit App: 95006111 AdditionPROJECT NUMBER= 95006111 APPLICATION
DATE= 08/09/95 PAGE= 01
* * * * ** THIS IS NOT A PERMIT * * * * **
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17419 E ALKI AVE PARCEL # = 55183.0223
ADDRESS= GREENACRES WA 99016
PERMIT USE= GARAGE ADDITION (22 X 16)
PLAT # = 000500 PLAT NAME= CORBIN ADD TO GREENACRES
BLOCK= LOT= ZONE= UR -3.5 DIST # = G
AREA= 00000002 F /A= F WIDTH= 210 DEPTH= 470 R /W= 40
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= GRAY, BILL & JAYNE
STREET= 17419 E ALKI AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= BILL GRAY
PHONE= 509 924 1902
PHONE NUMBER= 509 924 1902
BUILDING SETBACKS: FRONT= 70 LEFT= NA RIGHT= 5 REAR= NA
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DEPARTMENT
BUILDING
COMMENTS:
REVIEW REQUIREMENT
PLAN REVIEW REQUIRED
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
«6
HEAL DID T I N`CREA §E IN LOT COVERAGE
COMMENTS:
63/ (FAX'r
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** BUILDING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
OCCUP. LD=
22 X 16 SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
GARAGE U -1 VN
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
352 SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
352 4224.00
PROJECT NUMBER= 95006111 APPLICATION DATE= 08/09/95 PAGE= 02
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
BUILDING PERMIT 89.46 .00 89.46
89.46
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 89.46
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** THANK YOU ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DESCRIPTION OF WORK: New Addition
Size of Lot 5 a a`xf_
Remodel
Moving X Bldg. Zone
Sewage System
Stories / Dimensions 2 41 (36) Total Sq. Ft.
Rooms / Baths Basement Foundation Const..
(Full, part, none)
Heat. System ► ■ T •e of Ro9Tin
Use of Bldg.
Ext. Finish
Int. Wa
No. of
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH
431 o At ,� L A
m
-+
A00Ess: �- ....
ZONE oTN
ROAD
FRONT:
COWEN-VS BY
REV11: NE �
CiRRAae
X16`4
Plumbing
rn Heating Pi
1 , � Sewage P(
cn
-4
-+ Plans Reci
e. Plans Che
Plans Reti
1
Plans Picl
A i\.,K i
I he eb certi nformation submitted is correct and there are no other structures lc
as shown. — ► J /— 1
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONST
THIS IS NOT A PERMIT.
SOUTH
Plans Mai
06 A/D
DO NOT WRITE BELOW THIS LINE
Your street address will be / 7 # t Cf ( �s The zor
Sewage Permit Number Issued Building Permit ,t / 3c' ?)/lleceipi
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel num r?
ir141,1 E‘ C12 Ac 6:1, \NA 99000 i L ,I .
Legal description as it appears on the property deed
OWNER or OCCUPANT
X1,1,- 1/4SkiNf
Mailing address
I X141 �1 Pn,KT
Phone
9241%z
Who should we contact regarding this project?
Bow
City, state
9 —E902
Zip
What work is being done under this permit?
ADDmc S 1v bock2 Il0' )(2-2.1
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?
Nl)i.tlr5,
What is the cost of your project?
Manufactured Home
Width:
Year:
Installer
Sign
Length:
Make:
What is the square footage of
the sign face?
How high is the sign?
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Previous address
Fire Safety
Contractor
WA State Contractor license #
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
(Circle one) Above - ground Underground
Contents of tank(s)
Size ! gallons
Swimming Pool
Size / gallons
Private
Public /semi - private
Q.
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.
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