1996, 04-12 Permit App: 96002348 AdditionPROJECT NUMBER= 96002348 APPLICATION
DATE= 04/12/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 407 S TSCHIRLEY RD
ADDRESS= GREENACRES WA 99016
PARCEL,#`= 55192.0326
PERMIT USE= RESIDENCE ADDITION - FAMILY ROOM, STUDY, BATH, & BEDROOM
PLAT#= 000501 PLAT NAME=
BLOCK= LOT=
AREA= 00021000 F/A=
# OF BLDGS= 2 # DWELLINGS=
OWNER= KOROT, ALAN
STREET= 407 S TSCHIRLEY RD
ADDRESS= GREENACRES WA 99016
CORBIN ADD TO GREENACRES
ZONE= UR -3.5 DIST#= G
F WIDTH= 164 DEPTH= 130 R/W= 60
1 WATER DIST =
CONTACT NAME= ALAN KOKOT
BUILDING SETBACKS: FRONT= NA LEFT= NA
PHONE= 509 928 2828
PHONE NUMBER= 509 993 4731
RIGHT= 14 REAR= 26
****************************** REVIEW INFORMATION *****************,r*******,r***
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J SHATTO
HEALTHDIST HEALTH DEPT REVIEW REQUIRED
COMMENTS:
DATE: 04/11/96
J
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
24 X 36 SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
RES ADD R-3 VN
ITEM DESCRIPTION
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
864 SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
864 50976.00
QUANTITY FEE AMOUNT
Y 502.63
y 4.50
y 110.58
PROJECT NUMBER= 96002348 APPLICATION DATE= 04/12/96 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
VENTILATING FANS
QUANTITY FEE AMOUNT
2 20.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6.00
TUBS 1 6.00
SINKS 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 617.71 .00 617.71
MECHANICAL PRMT 20.00 .00 20.00
PLUMBING PERMIT 18.00 .00 18.00
655.71
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 655.71
******************************** THANK YOU ************************************
APPLICATION INFORMATION
hat is the JOB SITE address?
7 7 /sem%:�/�
Legal description as it appears on the property deed
OW ER or OCCUPANT
/a /„. /4)/,(77—
ailing address
ASSESSORS
Building
Planning
Engineers
rlealth1, / 1
t.itthtipS
Other
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Who sho we contact reg ding this project?
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ITC
City, state Zip
Phone
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What work is being done under this permit?
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inspector district
Property size
Right of way width
m
y
Water district
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G
Contractor
WA State Contractor license #
Building height
/2
Dimensions
# of stories/
TOTAL SQUARE FOOTAGE
Main floor area
M�g address
(/() % >5c/� 7
Architect/Engineer
/�l z /4V/C1 t -
What is the heat source? i
os
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2nd floor area
Unfinished basement area
Finished basement area
Garage area
Size of decks, etc.
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 #
We 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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