1996, 05-03 Permit App: 96003083 Shop•
PROJECT NUMBER= 96003083 APPLICATION
DATE= 05/03/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18027 E MONTGOMERY AVE PARCEL#= 55071.0108
ADDRESS= GREENACRES WA 99016
PERMIT USE= DETACHED SHOP 40 X 60
PLAT#= 005551 PLAT NAME= SCOTTISH ADD
BLOCK= 1 LOT= 8 ZONE= UR -3.5 DIST#= G
AREA= 00000000 F/A= F WIDTH= 115 DEPTH= 450 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= SIMPSON, FRED
STREET= 18027 E MONTGOMERY AVE
ADDRESS= GREENACRES WA 99016
PHONE= 509 928 8925
CONTACT NAME= FRED SIMPSON PHONE NUMBER= 509 928 8925
BUILDING SETBACKS: FRONT= 320 LEFT= 10 RIGHT= 65 REAR= 20
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
Pe �17--Aorieo
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******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 18 STORIES= 1
BLDG W X D = 40 X 60 SQ FT= 2400 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
SHOP
U-1 VN 2400 28800.00
•
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PROJECT NUMBER= 96003083 APPLICATION DATE= 05/03/96 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 333.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 73.26
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 410.76 .00 410.76
410.76
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 410.76
******************************** THANK YOU ************************************
DETAILED
SITE
PLAN
.lame •
Parcel No.
J,Qga1 Desc'-iption-
Total Sq.Ft.or Acreage
Scale 1" = 20' or 1" = 40'
PLAN
MUST
SHOW
Setbacks & Existing or Propose
Easements. Location & Dimensi
of Lot Lines, Proposed Buildin
Roads, Sewage Disposal & Other
Utility Services.
ADDRESS: E, I t?a2"1 ek\r-3orn
ZONE
`ROAD WIDTH'S
FRONT 3 FLANKING:.
')MME
The information shown and the statements I have made are correct.
Applicant Signature
For Offical Use Only Zoning
Date
\ Reviewed BY Planning Commission
Permit°
Health Disc.
Accepted By
Build. Dept.
Assessor
NOTE: DETAIL=D ?LANS SHOWING THE SA`O INFORMATION MAY 3E SUBSTITUTED FOR T: -:_S FORM
DETAILED parcel :Jo.
Lega_u_ne_sraz.
S ITE
PLAN
Total Sq.Ft.or Acreage
Scale 1" = 20' or 1" = 40'
t
P LA -N
MUST
SHOW
Setbacks & Existing or Propose
Easements. Location & Dimensi
of Lot Lines, Proposed Buildin
Roads, Sewage Disposal & Other
Utility Services.
rTa p av
N
D
V ADDRESS: on
ZONE
ROAD WIDTH: ScD
FRONT 32r FLANKING:
nMME
1/5
The information shown and the statements I have made are correct.
Applicant Signature
Date
For Offical Use Only Zoning
Reviewed BY Planning Commission
Permit° Accepted By
Health Disc. Build. Dept.
Assessor
NOTE: DETAILED ?LaNS SHOWING THE S�`O INFOR.MATION MAY 3E SUBSTITUTED FOR T::S FORM
APPLICATION INFORMATION
What is the JOB SITE address?
/ g -c 2 `) /'hp03419,
ASSESSORS tax parcel number?
Legal description as it appears on the property deed
OWNER or OCCUPANT
cCIS
Phone
n-c`T a S
Mailing address
iv`421y
Who should we contact regarding this projecf?
City, state
G� CMS w4.
Zip
290
—�� S! nx,)SO0.j
Phone
What work is being done under this permit?
Contractor
1C)J
Building height
/S
Dimensions
Yo X 60
# of stories
TOTAL SQUARE FOOTAGE
yoo
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
/15 /� �o ✓�.
2nd floor area
Finished basement area
Architect/Engineer
4')/hat is the heat source?
Garage area
Size of decks, etc.
What is the cost of your project?
/yoao.`=
Manufactured Home
sign
g::;
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinlder _
Tent
Paint booth Fire Alarm _ Fireworks display _
VALUE
Contractor
A State Contractor license #
Mailing address
Contractor
WA State Contractor license #
Mailing address
Fuel Storage Tanks;
Swimming Pool
(Circle one) Above -ground
Contents of tank(s)
Contractor
Underground
Size / gallons
Size / gallons
Private
Contractor
Public/semi-private
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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