1996, 07-11 Permit App: 96005352 Remodel GaragePROJECT NUMBER= 96005352 APPLICATION DATE= 07/11/96 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= CONVERT ATTACHED GARAGE TO LIVING SPACE
PLATO= 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= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J LARSON DATE: 07/11/96
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D= X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 500.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 35.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 7.70
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 96005352 APPLICATION DATE= 07/11/96 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 47.20 .00 47.20
47.20
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 47.20
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
"What is the JOB SITE address?
Legal description as it appears on the property deed
OWNER or OCCUPANT
Mailing address
f / (c) N-16,-r60n:;7
Who should we co tact regarding this project?
ASSESSOR'S tax parcel number?
Phone
City, state
/zein ckJ /i
Phone
What work is being done under this permit?
(6,3keT cA2/4. ro Uc S,9 cQ
Contractor
Building height
# of stories
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
Y
C.
m
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
IHow high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
FireSafety
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display
VALUE
Contractor
WA State Contractor license #
Contractor
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
(Circle one) Above -ground
Contents of tank(s)
Swimming Pool
Under
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
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