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1997, 05-14 Permit App: 97003125 Addition PROJECT NUMBER= 97003125 APPLICATION DATE= 05/14/97 PAGE= 01 PROJECT NUMBER= 97003125 APPLICATIUi DATE= 05/14/97 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 2202 S PROGRESS RD PARCEL#= 45261.1529 ADDRESS= VERADALE WA 99037 PERMIT USE= RESIDENCE ADDITION - LIVING ROOM, BATHROOM, & BEDROOM PLAT#= 002748 PLAT NAME= VERA BLOCK= 208 LOT= ZONE= UR-3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= 110 DEPTH= 350 R/W= 40 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= MILLER, MICHAEL PHONE= 509 924 1178 STREET= 2202 S PROGRESS RD ADDRESS= VERADALE WA 99037 CONTACT NAME= MIKE MILLER PHONE NUMBER= 509 924 1178 BUILDING SETBACKS: FRONT= 56 LEFT= NA RIGHT= 21 REAR= NA ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED APPROVAL: J SHATTO DATE: 05/14/97 BUILDING PLAN REVIEW REQUIRED APPROVAL: J SHATTO DATE: 05/14/97 ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= REMODEL= ADDITION= X CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1 BLDG W X D = 44 X 28 SQ FT= 1052 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION COV DECK R-3 VN 376 3384 .00 RES ADD R-3 VN 1052 62068 . 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 680. 00 RESIDENTIAL SURCHARGE Y 149. 60 STATE SURCHARGE Y 4 .50 PROJECT NUMBER= 97003125 APPLICATION , DATE= 05/14/97 PAGE= 02 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT VENTILATING FANS 1 10. 00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS/BIDETS 1 6. 00 SHOWERS 1 6. 00 SINKS 1 6. 00 WATER USING DEVICES 1 6. 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 834 .10 .00 834 . 10 MECHANICAL PRMT 10. 00 .00 10.00 PLUMBING PERMIT 24 . 00 . 00 24 . 00 868.10 . 00 868 . 10 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO ******************************** THANK YOU ************************************ 1 1, - S"1' S\ \\4 J P&ocySS f<D- 110r i nn / 0.DQ� .(!o' ¢� O �L ic_r7.. 0.Q / I / 4 / i.-` r f\ c'r3 � Or yds 61 `S'S ;�..v‘so, J 4400 Ob, APPLICA,ION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? a.D,a a Ss, P(ZUG-rcks'S L'1S off► ` \50,`i Legal description as it appears on the property deed V ow N 11 o' C)F G_ 5�O c>-F Q - T7. c V- 7c ZcoB OWNER or OCCUPANT Phone O W N LYL • ‘16;-. ION kl 1 YL otZ`-y-\\-1Se Mailing address City,state Zip 2:2_©2 S PSC C->z.cs c> \11=22.,r 0,-!t= 9 cl 6 3.7 Who should we contact regarding this project? Phone rn t\C-1.-_-: i(Y\k\ 9 2-4-it-\,t- What work is being done under this permit? Lone Inspector district Property size Hight of y width 5 - --- - ---:::::::::::::--------------- -: .. .. 6:- ..--Water district m Building Building height #of stories A. X7'0 Contractor Dimensions TOTAL SQUARE FOOTAGE O UJ N(cam LVA X..2. t WA State Contractor license# Main floor area Unfinished base- area Mailing address 2nd floor area Finished basement area 5b At` '()-S (4-1>Q JL: N/l/i- IJf 0-- �'�r Architect/Engineer Garage area Size of decks,etc. e U N fV)- trl 4y'XC' 4- Li k What is the heat source? What is the cost of your project? 0 oc C l r_z-C:1,k(- \'1, 0 C� Manufactured Home . Sign Width: Length: What is the square footage of How high is the sign? the sign face? Year: Make: Installer Contractor We State Contractor license# Wa State Contractor license# Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler _ Tent _ Paint booth_ Fire Alarm _ 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 Size/gallons Private Contents of tank(s) Size/gallons 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. Site Plan 2' O 2 S': P1Z_( ( (C,_ESS CD ' "•1 -v I I i i o 1 LI 6 P4 4 NIS n I : '61T11 freo rep., rIG I 0 II ' • 11111111111111111111111111 INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments 0 Underground utilities ❑ Distances from center of roads, right of ways, 0 North arrow private roads & property lines 0 Septic tanks & wells O All existing & proposed buildings