1995, 05-30 Permit App: 95003771 CarportPROJECT NUMBER= 95003771
APPLICATION DATE= 05/30/95 PAGE= 01
****** ,THIS -,IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1407 N GREENACRES RD PARCEL#= 55181.2024
ADDRESS= GREENACRES WA 99016
PERMIT USE= ATTACHED
PLAT#= 002043
BLOCK= 20
AREA= 00000001
# OF BLDGS= 1
CARPORT
PLAT NAME= PLAT"A" GREENACRES IRR.DISTRIC
LOT= ZONE= UR 3.5 DIST#= G
F/A= A WIDTH= 55 DEPTH= 124 R/W= 40
DWELLINGS= 1 WATER DIST =
OWNER= SMITH, KAROL K
STREET= 1321 S WOODRUFF RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= KAROL SMITH
BUILDING SETBACKS: FRONT= 43
LEFT= 17
PHONE= 509 927 4951
PHONE NUMBER= 509 927 4951
RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
REVIEW REQUIREMENT
PLAN REVIEW REQUIRED
CGiSiENTS: *LA
BUILDING SETBACK
COMMENTS:
HEALTH
REVIEW
REQUIRED
619.
pB v%C
o124.e_
5- 66.6
ar if
ST INCREASE IN OT COVERAGE
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
OCCUP. LD=
8 X 25 SQ FT=
#HANDICAP=
DESCRIPTION GROUP
CARPORT M-1
PHONE=
ADDITION= X
BLDG HGT= 8 STORIES=
200 SPRINKLER= N
CRITICAL MAT= N
CHANGE OF USE=
TYPE SQ FT VALUATION
VN 200 1800.00
1
PROJECT NUMBER= 95003771 APPLICATION DATE= 05/30/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 41.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 7.38
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 52.88 .00 52.88
52.88
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 52.88
******************************** THANK YOU ************************************
ADDRESS:
-ZONE: - _
ROAD WIDTH
FRONT.
COMMENTS
REVIEWED BY.
JUN -IOb-177D bti; G1
Fax Transmittal Memo Th -72
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SPOKANE COUNTY HEALTH DISTRICT
Environmental Health Division
West 1101 College. Spokane, WA 99201 (509! 3241560
SEWAGE SYSTEM VERIFICATION FORM
Since our office does not have information on file showing the location and size of your
system, please provide the following Information in order for us to review your proposal.
Project address: S_ f y o 7 r..e._n_a x d_S
Pr . perry own : r: Address:
Existing property use: Al/residential amuhi-family
If a business, name and nature:
Phone:
417— qyf/
If a business, approximate metered water consumption:
Type of wastewater fixtures connected to sewage system(s):
1toilets `showers/tub sinks
car wash sprinkler system _hot tub/spa
dishwasher
19,60 - Crtiwud-e_
Year structure built: Year sewage system installed: 04 kite wi 7
Number of bedrooms:
•
Has existing sewage sys em(si been reconstructed or repaired? °Yes ONO uR Kn s w D
If yes, when; Reason:
gallons per
LIaundry
swimming pool
TOTAL P.02