1986, 09-15 Permit: 00013127 AdditionSIGNATUREOF
OWNERORAGENT/ILT
JO8ADDRESS
�,,I S KOBFN RD
"°~=
'^��RS. ROBERT L
^~~^^""'
' � S KOREN RD
"'`— =` `'"'
/KANE WA 99212
^—^'"^=`'
��.S, ROBERT '
"°~,"^C`""'
ADDRESS:
Kk�! .LI
S O
"',`' "`' ^"'
"~ "`"""E°'
i34-0 5
^"""/"~,.°"=
~^~°"=
"'``' °`' `'"'
'^^== ="""°=
23531100lC�,vo�
'°"="`~^'
PLATS: LOT a.�C"
08003900
FINAL
°^`=°"'
EASTWOOD ADD.
"ONE~' ZONE
ACSUB
=^
5 1
5 2
^""
~"°
01 RESIDENCE ADDITION
"""="""~'-'
^=^""""=
403 S K8REN RD
• Building Code Fee
BUILDING
Valuation: Corr
STRUCTURAL
15792
APPL|CATON
. /
y
DATE / —.
PROJECT#
SE°.*:
00148
~~TE.
00013l�7
$171.0'
.zlUing Godp Fee
FEES:
$172.50
~^M°°'
"~
�
�
°�
COUNTER APP/
PLANS EXAM:
DATE:
it of Floors 01 # of Bedrooms 000 # of Rooms 000
PRIMARY STRUCTURE:
Desc/ DWELLING Group: R-3 Type/ VN
Sq—Ft 658 Occupancy Load Rate 24.00
SECONDARY STRUCTURES:
TOTAL FEE
TOTAL FEE $171
Permit Fee 171.0�
DV~l�-8� �87�� �l7��O^
~. �' ~. '"..'~ �' �'"�
e~rmr-ioNe— ••••••.r.e..
-
I .
. 2
I 1 I
1
1 1 I
7-
1
1 3-
I i 1
I -I
I I
44 4
4
-4
r
i _,
!
-I
L i i I
, ; 1
i . , 1
i -4 - 1
4- 4
-4-
I t-
, 1 t
1 1.
i ; 1
ti; 4- - 4 ;
1 I I ,
1 !
-1
- 1•-
•
I ;
1 ; I
-.- t--
. .
; . .
I 1
I 1 i I t
- --- +
I ,
;
1 i 1
; 4 1
4 ;
r .
; I I
-1 -+ 4- I
t
I i I ' ; 4
; 1
1 ;
, 1
t --1
r t t t
, ; L
, 2 ;
1 1 i
I
; I 1
! I I
I
i I k
I I I !
I
t 4 - -i,- --t -
I 1 1 -I-
1 1 I I • i
DEPARTMENTAL REVIEW
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Date 7 _'4/e.' 1'
Cond.
Ap,ro • �, provai
%iaiii
Hold
Environmental Health Application #
1,
,/.41� {
f
I'%
W. 1101 College
Room 200
ii
Planning/Zoning
N. 721 Jefferson
Engineers
N. 811 Jefferson
Utilities -
N. 811 Jefferson
I
Plan Review/Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Protect Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Date 7 _'4/e.' 1'