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1999, 08-16 Permit App: 99007546 ResidenceProject Number: 99007546 Inv: • Application THIS IS NOT A PERMIT Penalties will be assessed for toinmencing work without a permit Project Information: - Permit Use: RESIDENCE W/CARPORT - NATURAL GAS Contact: COURCHAINE, R G Address: 1120 N UNIVERSITY RD C - S - Z SPOKANE, WA 99206-5067 Phone: (509) 924-3492 Setbacks: Front 97 Left: 5 Right: 28 Rear: 97 Site Information: Plat Key: 005022 Name: SP -686-91 Page 1 of 3 District: G Parcel Number: 55182.3802 SiteAddress: 17201 E CATALDO AVE GREENACRES, WA USA Location:: GRE Zoning: UR -3.5 Water District: Owner: Name: COURCHAINE, R G 99 Address: 1120 N UNIVERSITY RD SPOKANE, WA 99206-5067 Urban Residential 3.5 Area: 19,977 Sy Ft Width: 81 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information :.:: :...:.:.... _: Hold: ❑ Depth: 142 Right Of Way (ft): 40 Department Review BUILDING Comments: Site Plan Review c'tq lc.e)J BUILDING . Plan Review Comments: HEALTHDISTRICT Septic System Review Comments: ENGINEER Comments Permits: proach / Drainage AitI1 01,1 Lie4 � DC Project Number: 99007546 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Date: 8/16/99 Page 2 of 3 Contractor: OWNER. Address: 0 000000,00 000000 Firm: OWNER Phone: (000) 000-0000 Building Characteristics Const Category: New Nbr Of Dwellings: 1 Occupant Load: Bldg W x D: 42 x 48 Building Sq Ft: Req Parking: Handicap Parking: Description Grp Type Notes CARPORT U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: OWNER Address: 0 000000, 00 000000 Item Description . GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS CLOTHES DRYER RANGE HOOD -TYPE II Building Height: 13 Stories: 1. 2016 Sprinklers: ❑ Critical Materials: ❑ This Application: Total Project: So Ft Valuation Sq Ft Valuation 550 $2,475.00 550 $2,475.00 2,016 $124,992.00 2,016 $124,992.00 Totals: 2,566 $127,467.00 2,566 $127,467.00 Units Unit Desc 1 Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $1,035.00 $4.50 $227.70 $1,267.20 Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 2 NUMBER OF 2 NUMBER OF 4 # OF UNITS 2 NUMBER OF 7 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $20.00 $24.00 $4.00 $24.00 $70.00 $10.00 $10.00 $10.00 $172.00 Project Number: 99007546 Iny: 1 App i ation THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Date: 8/16/99 Page 1 of . Permit Use: RESIDENCE W/CARPORT - NATURAL GAS Setbacks: Front 97 Left: 5 Right: 28 Rear: 97 Contact: COURCHAINE, R G Address: 1120 N UNIVERSITY RD C - S - Z SPOKANE, WA 99206-5067 Phone: (509) 924-3492 Site Information: . 'tlsms W'MdC iQC�dCC�fKiS#.CYm,,,im<mktsmsowsifamnimisw iRC� ?sszsz: Plat Key: 005022 Name: SP -686-91 District: G Parcel Number: 55182.3802 SiteAddress: 17201 E CATALDO AVE GREENACRES, WA USA 99 Location:: GRE Zoning: UR -3.5 Water District: Area: 19,977 Sq Ft Urban Residential 3.5 Owner: Name: COURCHAINE, R G Address: 1120 N UNIVERSITY RD SPOKANE, WA 99206-5067 Hold: O Width: 81 Depth: 142 Right Of Way (ft): 40 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: is, ,• -xts. = • \ v ; om;;okemm,,t ; ,_. . D . : BUILDIN G B Comments: BUILDING Continents: Review Site Plan Review Plan Review C49 g',10- G9 HEALTHDISTRICT Septic System Review Comments: ENGINEER A proach / Drainage Comments: Permits: • / I 46. ' c� Project Number: 99007546 Inv: 1 "ApphCa on Date: 8/16/99 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Address: 0 000000, 00 000000 Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS CLOTHES WASHER WATER USING DEVICES Payment Summary: Operator: CKF Pennit Tvpe Building Pennit Mechanical Permit Plumbing Permit Plumbing Permit Page 3of3 Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 4 NUMBER OF 5 NUMBER OF • 4 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF v, Permit Total Fees: Printed By: CKF Print Date: Fee Amount Invoice Amount $1,267.20 $172.00 $108.00 $1,267.20 $172.00 $108.00 $1,547.20 $1,547.20 Fee Amount $24.00 $30.00 $24.00 $6.00 $6.00 $18.00 Amount Paid $0.00 $0.00 $0.00 $108.00 8/16/99 Amount Owing $1,267.20 $172.00 $108.00 $0.00 $1,547.20 f 5 ‘,7/4- )‘ ' l'c. /tea Criet L -r ti , /Z J D -t' /2- 1 427-7 pA J' A /0 dam 0 filf# ,1 This s'c :-' ^ is bL,"rq submitted for!hc.+pose of 0101kng ' bu;11;n9 permit and is a true and correct -teivuostation of the Proposal. Ail i mownprope #'Wil +'inensions, curb lines. structures and ease e been identified. Also indicated are tents bodies ot.woter, steep sic wetlands, s or other c ''kcal areas. Signed ADDRESS . I'7 WI GVtcf, , ZONE La ROAD WIDTH 4D FRONT JC C>- FLANKING COMMENTS REVIEWED BY LIo, o 4-10 T AAA C /61i-_ y A 3 0