1998, 12-02 Permit App: 98012175 RemodelProject Number: 98012175 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/2/98 Page 1 of 2
Project Information:
Permit Use: CONVERT GARAGE TO REC ROOM &
OFFICE/ENLARGE DINING ROOM
Setbacks: Front Left: Right: Rear:
• Contact: CHURCHILL, JOHN
Address: PO BOX 638
C - S - Z N EWMAN LAKE WA 99025
Phone: 509) 8')I-0292
Site Information:
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Plat Key: 002757 Name: VERA District :
Parcel Number: 45144.1315
SiteAddress: 312 N PROGRESS RD
VERADALE, WA 99037
Location:: VER
Zoning: AGRI
Water District:
Area: 13,000 Sq Ft Width: 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
F
Owner: Name: CHURCHILL, . AIN
Address: PO BOX 638
NEWMAN LA I': WA' +9025
Hold: ❑
Depth: 0 Right Of 0. (ft): 1t
Review Information:
Permits: ............ , ::«
its;.B�Y?:z�...�..�.'�rv��«.k4,�..,>.�.'.eaa^�>.,u��...:.>:�.s:�:�r s:> ;.:::•,
Contractor: OWNER
Address: 0
000000, 00 000000
o -ii muxais
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Const Category: Remodel
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description Grp Type Notes
REMODEL 0 56,000.00
Building Height:
Sprinklers: ❑
Critical Materials: ❑
This App I;cation:
Sg Ft Valuation
RESIDENCE LC VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 0 (~.000.00
Units Unit Desc
1 ' Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Storic:
•
,;i Projt'et:
Sq Fr. Valuation
$6.000.00
Fee Amu,
$11
$=
$2
$14
$6 )0.00 )0.00
Project Number: 98012175 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/2/98 Page 2 of 2
Payment Summary•
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Operator: JAS Printed By: JAS Print Date: 12/2/98
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $142.36 $142.36 $0.00 $142.36
$142.36 $142.36 $0.00 $142.36
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