1994, 10-26 Permit App: 94010688 Change of UsePROJECT NUMBER= 94010688 APPLICATION
******
THIS IS NOT A PERMIT
•
DATE= 10/26/94
PAGE= 01
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1215 N GREENACRES RD
ADDRESS= GREENACRES WA 99016
PERMIT USE= s5ETY INSP CTI N
PLAT#= 002043 AT NAME=
BLOCK= 47 LOT=
AREA= 00000000 F/A=
# OF BLDGS= 1 # DWELLINGS=
OWNER= ARNOLD, TOM & KATHY
STREET= 1215 N GREENACRES RD
ADDRESS= GREENACRES WA 99016
PARCEL#= 55181.2228
C,UE- VR -619 -
KA H ' WHO ES E CARPETS a GY410
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PLAT"A" GREENACRES RR.DISTRIC
ZONE= UR -3.5 DIST#= G
F WIDTH= DEPTH= R/W= 40
1 WATER DIST =
PHONE= 509 924 1598
CONTACT NAME= TOM OR KATHY ARNOLD PHONE NUMBER= 509 924 1598
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING
COMMENTS:
ENGINEER
COMMENTS:
PLANNING
COMMENTS:
*****
PLAN
REVIEW REQUIRED
ApP+eo VA -LS
reo) lAsttcricsklat.v.441:•4
RIGHT OF WAY / TRAFFIC/072_0Y
RIGHT WAY / TRAFFIC
LAND USE ACTION REQ'D/INVOLVED
.//d02,_
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
*
*
*
REMODEL= X
OCCUP. LD=
X SQ FT=
#HANDICAP=
ITEM DESCRIPTION
PHONE=
*Sr*********************
ADDITION= CHANGE OF USE=
BLDG HGT=
SPRINKLER= N
CRITICAL MAT= N
QUANTITY
STATE SURCHARGE Y
CHANGE OF USE/SAFETY INSP Y
FEE AMOUNT
4.50
50.00
STORIES=
PROJECT NUMBER= 94010688 APPLICATION DATE= 10/26/94 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 54.50 .00 54.50
54.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 54.50
******************************** THANK YOU ************************************
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