1995, 09-01 Permit App: 95006934 AdditionPROJECT NUMBER= 95006934 APPLICATION' DATE= 09/01/95 PAGE= 01
******
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 7 S BARKER RD
ADDRESS= GREENACRES WA 99016
PERMIT USE= 12 X 16 ADDITION TO RESIDENCE
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
000635. PLAT NAME=
1 LOT=
00000000 F/A=
2 # DWELLINGS=
OWNER= COTE, RAYMOND A
STREET= 7 S BARKER RD
ADDRESS= GREENACRES WA 99016
PARCEL#= 55202.0301
DOAK'S GREENACRES SUB.
1 ZONE= UR -3.5 DIST#= G
F WIDTH= 98 DEPTH= 196 R/W= 60
1 WATER DIST =
CONTACT NAME= RAYMOND COT
BUILDING SETBACKS: FRONT= 30 LEFT= 44
PHONE= 509 924 7063
PHONE NUMBER= 509 924 7063
RIGHT= 10 REAR= 50+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
REVIEW REQUIREMENT
PLAN REVIEW REQUIRED
a,`v-Q 3.) 9 I q S
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
p / C,C')L- Lb ( or1+'( i r:
cf fl COMMENTS: 144 Yi U jfYI
—/U° M ache
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
OCCUP. LD=
12 X 16 SQ FT=
#HANDICAP=
DESCRIPTION G
BASEMENT U
RES ADD
ROUP TYPE
R-3 VN
R-3 VN
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 16 STORIES= 2
384 SPRINKLER= N
CRITICAL MAT= N
SQ FT
VALUATION
192 2112.00
192 11136.00
PROJECT NUMBER= 95006934 APPLICATION DATE= 09/01/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 153.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 29.07
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
DUCT SYSTEMS 1 10.00
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
186.57 .00 186.57
10.00 .00 10.00
196.57
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 196.57
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed \
. —11-74 e -,f2#9 Pa 9 7 0 t -t
OWNER or UPANT Phone
Maling address �/'+� City, state ,t Zip
U
76
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Who /14.. we contact regarding thisproject? Phone
What work is being done under this permit?
inspector •ls. -
'rope size
—WI
-lg o way wi;?_ -
Water district
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
Finishedbasement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
Whet 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
Meiling address
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
_ _
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
COMPLETE ALL APP
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
❑ All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells
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