1995, 08-09 Permit App: 95006098 AdditionPROJECT NUMBER= 95006098
APPLICATIOIi DATE= 08/09/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 401 N GREENACRES RD PARCEL#= 55184.1406
ADDRESS= GREENACRES WA 99016
PERMIT USE= RES ADDITION&NEW ROOF -EXPAND BED,LIVING,KITCHEN,&FUTURELAUNDRY
PLAT#= 000500
BLOCK= 14
AREA= 00000000
# OF BLDGS= 2 #
PLAT NAME= CORBIN ADD TO GREENACRES
LOT= 6 ZONE= UR -3.5 DIST#=
F/A= F WIDTH= DEPTH=
DWELLINGS= 1 WATER DIST =
OWNER= FRANKS, M. J.
STREET= 401 N GREENACRES RD
ADDRESS= GREENACRES WA 99016
CONTACT NAME= M J FRANKS
BUILDING SETBACKS: FRONT
************************** ***
DEPARTMENT
BUILDING
COMMENTS:
BUILDING
G
R/W= 60
PHONE= 509 928 7865
PHONE NUMBER= 09 928 7865
LEFT=. ARIGHT 7/e/ REAR=/1- '
O Yla.
REVIEW INFORMATION *********** *"***************
REVIEW REQUIREMENT
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
COMMENTS:
1
1_ LEY LEY �
HEALTHDIST INCRE]�S
COMMENTS:
-bre_)
IN LO COVE GE
******************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
********** BUILDING PERMIT *******************************
REMODEL= X
1 OCCUP. LD=
X SQ FT=
#HANDICAP=
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
856 SPRINKLER= N
CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 3500.00
RES ADD R-3 VN 856 49648.00
PROJECT NUMBER= 95006098 APPLICATION DATE= 08/09/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 432.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 77.85
PERMIT TYPE
BUILDING PERMIT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
514.85 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
514.85 .00
******************************** THANK YOU ************************************
ame of Owner
rchitect
ontractor
ddress l%/
Phone Engineer P
Address P
egal Description of Property (Give complete dhscription from deed, tax rec ip etc.)
oy IXC s4� JK/L
C ; S
k. 07- . XC Y
7 -
DESCRIPTION
DESCRIPTION OF WORK: New Addition Remodel
Size of Lo
Const. �..i Dimensions )4 X kr
(Frame, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none) (Kin
Heat. System n Type of Roofing Ext Finish T /11 Int. Wall F
Use of Bldg. JJ
Garage or Carport Attached Private Detatched
Foundation Const
Moving Bldg. Zone
Sewage System
Total Sq. Ft. 7 L' Va
Chimney
No. of Units _
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) loc
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) lc
tem and water supply lines.
/n.
-1�
0
ZONE �- 3
ROAD WIOTh
FRONT. FLAN NU
COMMENTS:
REVIEWED BY
NORTH
/3/ �3
61)
,r,
Stat
Ind.
RE
Plumbing Permit
m Heating Permit
r, N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up _
Plans Mailed
I hereby certif
as shown.
2-1
SOUTH
information submitted
Cc (,) t e
is correct and there are no other structures located
t
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCT!
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE