1997, 07-18 Permit App: 97005262 AdditionPROJECT NUMBER= 97005262 APPLICATION
PROJECT NUMBER= 97005262 APPLICATION
DATE= 07/18/97
DATE= 07/18/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 14025 E 23RD AVE PARCEL#= 45262.1605
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE ADDITION - (2) BEDROOMS, BATHROOM, & LAUNDRY ROOM
PLAT#= 000667 PLAT NAME= EARLY DAWN ADD
BLOCK= 6 LOT= 5 ZONE= UR -3.5 DIST#=
AREA= 00000000 F/A= F WIDTH= 82 DEPTH=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= GERARD, SUSIE & TOM
STREET= 14025 E 23RD AVE
ADDRESS= VERADALE WA 99037
F
150 R/W=
PHONE= 509 926 8594
CONTACT NAME= JACK JEANNERET - APLICO PHONE NUMBER= 509 466 3543
BUILDING SETBACKS: FRONT= NA LEFT= 8 RIGHT= NA REAR= 70
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING
APPROVAL:
BUILDING
PLAN REVIEW REQUIRED
J SHATTO DATE: 07/18/97
SETBACK REVIEW REQUIRED
APPROVAL: J SHATTO
DATE: 07/18/97
******************************* BUILDING PERMIT *******************************
CONTRACTOR= APLICO
STREET= P 0 BOX 727
ADDRESS= MEAD WA 99021
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
12 X 24 SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
RES ADD R-3
ITEM DESCRIPTION
RESIDENTIAL VALUATION
RESIDENTIAL SURCHARGE
STATE SURCHARGE
PHONE= 509 466 3543
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES=
307 SPRINKLER= N
CRITICAL MAT= N
S Q FT
307
VALUATION
18113.00
QUANTITY FEE AMOUNT
Y
Y
Y
275.50
60.61
4.50
PROJECT NUMBER= 97005262 APPLICATION DATE= 07/18/97 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER
ITEM DESCRIPTION
PHONE=
QUANTITY FEE AMOUNT
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 1 1.00
VENTILATING FANS 2 20.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12.00
TUBS 1 6.00
SINKS 2 12.00
CLOTHES WASHER 1 6.00
FLOOR DRAINS 1 6.00
WATER PIPING - DWV 2 12.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 340.61 .00 340.61
MECHANICAL PRMT 41.00 .00 41.00
PLUMBING PERMIT 54.00 .00 54.00
435.61
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 435.61
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address?
/4 6 2- S-- (93 Al,
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
OWNER or OCCUPANT
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Phone
9124— g..CI (71
Mailing address
--- i qo z3 3 ,Qd,
City, state Zip
C/ CcJ4.44 . 9 9a3 7
Wh should we c tact regarding this project?
Phone
eciAii y� 6 —_55 y3
//a� (CQQ
hat wo is being done under this permit?
/ /7
Lone
Inspector distnct ..:
.:
Propertysize
Hag Ot way ws
Water district.
Building
'Building height
# of stories
Contractor
/91'L' / G U (/a Ni -1,
Dimensions
/;�- fI X 4- i�
TOTAL SQUARE FOOTAGE
.�0 7
WA State ContraDr license #
/4/0--r. / i /k
Main floor area
Unfinished basement area
Mailing address
7- 6 80 x 7--7 /ie a. r-/�,
2nd floor area
990z/ 3c'
Finished basement area
307
Architect/Engineer / _
er,A4 G�k. Al2.. c,-0 . G�
Garage area
M 4.,
Size of decks, etc.
Wh}� is the heat source?'Vhat
G�
is the cost of your project?
C),aoc�
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
Y
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
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
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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
D North arrow
0 Septic tanks & wells