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1996, 06-21 Permit App: 96004713 ResidencePROJECT NUMBER= 96004713 APPLICAThON' DATE= 06/21/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 1903 N MICHIELLI LN ADDRESS= GREENACRES WA 99016 PARCEL#= 55083.0000 PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS PLAT#= BLOCK= AREA= # OF BLDGS= 005826 PLAT NAME= RIVERWALK 3RD ADD 4 LOT= 1 ZONE= UR -3.5 DIST#= G 00006600 F/A= F WIDTH= 60 DEPTH= 1100 R/W= 35 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1 OWNER= STANTON SPOKANE STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 998052 CONTACT NAME= VERNE JACOBSEN BUILDING SETBACKS: FRONT= 20 LEFT= 5 PHONE= 509 921 1610 PHONE NUMBER= 509 921 1610 RIGHT= 5 REAR= 20 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUI BUILDING COMMENTS: PLAN REVIEW REQUIRED MENT BUILDING SETBACK REVIEW REQUIRED COMMENTS :l BUILDING COMMENTS: ENGINEER COMMENTS: SEWER PERMIT PENDING ( rte? AT—r- 7 ACk-SEL W62 ( clic) / i rZf SM / T L ,Peervt L( c i 7rE APPROACH/FLOOD PLAIN/DRAINAGE ******************************* a) a -61 7,0 BUILDING PERMIT *************** CONTRACTOR= DEAN HOUSLEY COMPANY LLC STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 98052 NEW= X DWELL UNITS= BLDG W X D = REQ PARKING= REMODEL= 1 OCCUP. LD= X SQ FT= #HANDICAP= IN * - ************ PHONE= 206 869 6618 ADDITION= CHANGE OF USE= BLDG HGT= 15 STORIES= 1 2936 SPRINKLER= N CRITICAL MAT= N PROJECT NUMBER= 96004713 APPLICATION' DATE= 06/21/96 PAGE= 02 DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 1468 16148.00 GARAGE U-1 VN 485 5820.00 RESIDENCE R-3 VN 1468 86612.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 805.50 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 177.21 IMPACT FEE= CV - SFR 750 750.00 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= DEAN HOUSLEY COMPANY LLC STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 98052 ITEM DESCRIPTION PHONE= 206 869 6618 QUANTITY FEE AMOUNT GAS APPLIANCE<=100,000BTU 1 12.00 GAS LOG OR GAS INSERT 1 10.00 CLOTHES DRYER 1 10.00 GAS WATER HEATER 1 10.00 GAS PIPING 3 3.00 VENTILATING FANS 4 40.00 HOOD -TYPE II 1 10.00 ***************************** PLUMBING PERMIT ****************************** CONTRACTOR= DEAN HOUSLEY COMPANY LLC STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 98052 ITEM DESCRIPTION PHONE= 206 869 6618 QUANTITY FEE AMOUNT TOILETS/BIDETS 3 18.00 TUBS 2 12.00 SHOWERS 1 6.00 SINKS 5 30.00 DISH WASHERS 1 6.00 CLOTHES WASHER 1 6.00 GARBAGE DISPOSAL 1 6.00 FLOOR DRAINS 1 6.00 WATER USING DEVICES 2 12.00 CROSS CONNECTION DEVICES 1 6.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT MECHANICAL PRMT 1737.21 95.00 .00 .00 1737.21 95.00 PROJECT NUMBER= 96004713 APPLICATION` DATE= 06/21/96 PAGE= 03 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING PLUMBING PERMIT 108.00 .00 108.00 1940.21 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN .00 1940.21 ******************************** THANK YOU***********************,r*******,r**** ADDRESS: N L( ZONE ROAD W1DTHc S 14M1C.t-11CLL 1 FRONT ' FLANKlNG:....._._.� COMMFNTS — ,:., :L.WED BY -X l(* WAL< '0 .MX71- o 14.614, MICRIE.L.0 LAKE_ t RECEIVE! SPOKANE CO JUN 17 DIVISION OF BUILDIN BY: