1996, 05-08 Permit App: 96003193 AdditionPROJECT NUMBER= 96003193 APPLICATION DATE= 05/08/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1813 N BARKER RD PARCEL#= 55074.2704
ADDRESS= GREENACRES WA 99016
PERMIT USE= DINNING ROOM ADDITION TO RESIDENCE
PLAT#= 003654 PLAT NAME= SIMPSON'S 3RD ADD
BLOCK= 1 LOT= 4 ZONE= UR -3.5 DIST#= G
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 1310 R/W= 60
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= VALLIE, NANCY & GARRY
STREET= 1813 N BARKER RD
ADDRESS= GREENACRES WA 99016
PHONE=
CONTACT NAME= GARY HOPKINS PHONE NUMBER= 509 926 2155
BUILDING SETBACKS: FRONT= EXIS LEFT= 18 RIGHT= EXIS REAR= 60
****************************** REVIEW INFORMATION *****:r***********************
DEPARTMENT REVIEW REQUIREMENT
BUILDING
COMMENTS:
BUILDING
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
COMMENTS: -;1 c rC P/kv)
Or- f c-r-FACH GAM
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
til& No Ccs+ he - 'VErhG Jw
******************************* BUILDING PERMIT *******************************
CONTRACTOR=
STREET=
ADDRESS=
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
G. M. HOPKINS
1306 N LONG RD
GREENACRES WA 99016
REMODEL=
1 OCCUP. LD=
10 X 13 SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
RES ADD R-3 VN
PHONE= 509 926 2155
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
130 SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
130 7670.00
PROJECT NUMBER= 96003193 APPLICATION DATE= 05/08/96 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 118.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 26.07
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 149.07 .00 149.07
149.07
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 149.07
******************************** THANK YOU ***********************************
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APPLICATION INFORMATION
3 3193
'What is the JOB SITE address? ASSESSOR'S tax parcel number?
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70/
Legal description as it appears on the property deed _
OWNER or OCCUPANT u, Phone
/i� (%a�fi' e
Maili address City, state Zip
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Pho7ne
Who should we contact riaarding this project? /J .'d.-..z7/-5-3----
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What work is being done under this permit? • »db/ 7-7 V
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Inspector district
Property
Property�^
ssizee'�
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1
wid
l/Hight of way width
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Water district
t
Building i" `k 0,, L601 of i
�p11� of is
Building height
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Si of stones
Contractortoy'//_
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Dimensions y
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TOTAL SQUARE FOOTAGE
/30 47
WA State Contractor license #
9/ 0/ o /°9.A,✓
Main floor area
- -
Unfinished basdmeM area
--
Mailinng a /r_ess,{ // /
2nd flo& area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your pro t?
9o-co
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 it
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler _ - Ten
_
Paint booth Fire Alarm Fireworks display
_ _ _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license # -
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
MPLETE 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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Site Plan
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
❑ North arrow
0 Septic tanks & wells
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ADDRESS:• 1813
ZONE - I -
ROAD WIDTH' (c0
FRONT �5 FLANKING;
:OMMENTSIT
='fEWED BY
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