1999, 07-12 Permit App: 99006238 Safety Inspect Project klumber: 99006238 Inv: 1 Application Date: 7/12/99 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: ......... .„,
Permit Use: SAFETY INSPECTION FOR LEVEL II ADULT Contact: SOLOM,BOB
FAMILY HOMES/L.C. Address: 2515 S TIMBERLANE DR
Setbacks:Front Left: Right: Rear: C-S -Z VERADALE,WA 99037
Phone: (509)994-2223
Site Information:
••••••••••••.••••,—...-- . ,..
Plat Key: 002646 Name: TIMBERLANE ADD District: F
Parcel Number: 45253.0303
SiteAddress: 2515 S TIMBERLANE DR Owner:Name: SOLOM,BOB
VERADALE,WA 99037 Address: 2515 S TIMBERLANE DR
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: 0
Area: 0 Sq Ft Width: 150 Depth: 190 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: Change Of Use
Nbr Of Dwellings: 1 Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: [1]
Item Description Units Unit Desc Fee Amount
CHANGE OF USE/SAFETY INSP 1 Y OR BLANK $50.00
STATE SURCHARGE 1 Y OR BLANK $4.50
Permit Total Fees: $54.50
Operator: JDL Printed By: JDL Print Date: 7/12/99
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $54.50 $54.50 $0.00 $54.50
$54.50 $54.50 $0.00 $54.50