1996, 09-03 Permit App: 96007254 Garage Addition PROJECT NUMBER= 96007254 APPLICATION I DATE= 09/03/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 19105 E VALLEYWAY AVE PARCEL#= 55173.1215
ADDRESS= GREENACRES WA 99016
PERMIT USE= GARAGE ADDITION - 23 X 25
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR-3.5 DIST#= G
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= CALAHAN, JOHN M PHONE= 509 928 2905
STREET= 19105 E VALLEYWAY AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= CHARLENE OR JOHN CALAHAN PHONE NUMBER= 509 928 2905
BUILDING SETBACKS: FRONT= EXIS LEFT= 12 RIGHT= EXIS REAR= 30
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS: 9/0 /
BUILDING SETBACK REVIEW REQUIRED 1/4.712,- ( T
COMMENTS: c�� (
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 10 STORIES= 1
BLDG W X D = 23 X 25 SQ FT= 575 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE U-1 VN 575 6900.00
PROJECT NUMBER= 96007254 APPLICATION DATE= 09/03/96 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--
RESIDENTIAL VALUATION Y 107.75
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 23.71
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 135.96 .00 135.96
135.96 .00 135.96
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
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APPLICATION INFORMATION ( W
What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
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Mailing address City,state Zip
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Who should we contact regarding this pr ' Phone �y��}
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What work is being done under this permit?
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Water district ;
D
Bluildin Building height #of stories
9 /
Contractor Dimensions TOTAL SQUARE FOOTAGE
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WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
ArchitecUEngineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
Manufactured Home Sign::
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
ie ovation : : : : :. : : > : Firesafety
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 Poo! ;I
(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.
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