2000, 02-23 Permit App: 00001048 GarageProject Number: 00001048 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/23/20 Page 1 of 2
Project Information:
Permit Use: ATTACHED GARAGE - 27 X 40
Setbacks: Front
FiagERCEMINEWNSM
Contact: GRIFFUS, ROBERTA
Address: 709 N MOORE ST
47 Left: 5 Right: EX Rear: 20+ C - S - Z VERADALE, WA 99037
Phone: (509) 924-7718
Site Information:
Plat Key: 000902 Name: FRISKE ADD
District: F
Parcel Number: 45133.1803
SiteAddress: 709 N MOORE ST
VERADALE, WA 99037
Location:: VER
Zoning: UR -7
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential -7
Owner: Name: GRIFFUS, ROBERTA
Address: 709 N MOORE ST
VERADALE, WA 99037
Hold: ❑
Width: 80 Depth: 107 Right Of Way (ft): 50
Nbr of Dwellings: 1
Department
BUILDING
Comments:
Review
Site Plan Review
BUILDING Plan Review
Comments:
HEALTHDISTRICT Septic System Review
Comments:
Permits:
Project Number: 00001048 Inv: 1
r --
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/23/20 Page 2 of 2
Contractor: OWNER
Address: 0
000000, 00 000000
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: 27 x 40 Building Sq Ft:
Req Parking: 0 Handicap Parking:
Description Grp Type Notes
GARAGE U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: RMB
Permit Type
Building Permit
Notes:
0 Building Height: 12
1080 Sprinklers: ❑
0 Critical Materials: 11
This Application:
Su Ft Valuation
1,080 $12,960.00
Totals: 1,080 $12,960.00
Units Unit Desc
1
1
1
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Stories: 1
Total Project:
Su Ft Valuation
1,080 $12,960.00
1,080 $12,960.00
Fee Amount
$200.50
$4.50
$44.11
$249.11
Printed By: RMB Print Date: 02/23/2000
Fee Amount Invoice Amount
$249.11 $249.11
$249.11
$249.11
Amount Paid Amount Owing
$0.00 $249.11
$0.00
$249.11
O1 -VE PLAN
t� .TA Noog_E
ZONE t R e_-
ROAD WIDTH 500
FRONT 47 _FLANKING
COMMENTS"; -
REVIEWED BY
/14_0 0 E RD. ; y; ,E RA. DA jh site of ,n is being submitt. + for the purpose of
(�1-ning a building permit and is a true and correct
L 3 a F C G,�! ( ., ((Q(lsentation of the proposal. All known property
` �fitte�/dimensions, curb lines, structures and easements
r have been identified. Also indicated are wetlands,
L �. t 33. 1 0 bodies of war, steep sl pes or other critical areas.
Signed:
Date: 2 — a 3 0"
APPLICATION' INFORMATION
` hat is the JOB SITE address?
/I / 7o hoc),1401
Legal description as appears on the property deed
ASSESSOR'S tax parcel number?
(43i 33 lc)C) 3
OWNER or OCCUPANT
Ro -rot 61- i ritis
Phone
Mailing address
/t/. 70°7 moor0 '
Who should we contact regarding this project?
Sceh2,
City, state
ev-aria
Zip
Phone
s0°7 ' V 77(
What work is being done under this permit?
Contractor
owh
Building height
Dimensions
L-7 //6
# of stories
TOTAL SQUARE FOOTAGE
ic 0c)
WA State Contractor license #
Mailing address
Main floor area
'fnd floor area
Architect/Engineer
Garage area
Unfinished basement area
Finished basement area
Size of decks, etc.
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?
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 Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
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
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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