1995, 08-30 Permit App: 95006853 Addition PROJECT NUMBER= 95006853 APPLICATION DATE= 08/30/95 PAGE= 01
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****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17010 E 4TH AVE PARCEL#= 45241. 9029
ADDRESS= GREENACRES WA 99016
PERMIT USE= GARAGE ADDITION (24 X 24)
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 99 DEPTH= 440 R/W= 50
# OF BLDGS= 3 # DWELLINGS= 1 WATER DIST =
OWNER= ROUNSVILLE, DALE L PHONE= 509 928 6616
STREET= 17010 E 4TH AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= DALE ROUNSVILLE PHONE NUMBER= 509 928 6616
BUILDING SETBACKS: FRONT= NA LEFT= 31 RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: ON FILE DATE: 08/30/95
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 08/30/95
44, 1 ,HEALTHDISTINCREASE IN LOT CO ERAGE Air JPA. . _ _
AP
COMMENTS: AID u./iLit i/ry'\-) 120 (? & 5i , , �' /
******************************* BUILDING PERMIT *******************************
CONTRACTOR= MOMB STEEL BUILDINGS INC PHONE= 509 226 3386
STREET= BOX 141632
ADDRESS= SPOKANE WA 99214
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 24 X 24 SQ FT= 576 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE U-1 VN 576 6912. 00
11
PROJECT NUMBER= 95006853 APPLICATION
DATE= 08/30/95 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
Y
RESIDENTIAL VALUATION 90. 000 .00
STATE SURCHARGE Y
RESIDENTIAL SURCHARGE
Y 16.20
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
.00 110.70
110.70
BUILDING PERMIT
110.70 . 00 110.70
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
•
APPLICATION INFORMATION
hat is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
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Mailing address City,state Zip
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ho should we contact regarding this project? Phone
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What work is being done under this permit?
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C Inspector district 'Prr6perty sue Right of way width
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ater disI
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Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
MO Mg STe-e / ,U(,f 1-/l�(,-nes c)/i)C °N 3''76
WA State Contractor license* Main floor area Unfinished basement area
/tom$ SPror/CeZ A/01A
Mailing address 2nd floor area Finished basement area
PO t35.x• /90 /Vein yyr," c /f/0 11 A/o vt&
Architect/Engineer Garage area Size of decks,etc.
h/oii itj c)
What is the heat source? What is the cost of your projec '020-73
n a 2S t /°
Manufactured Homs 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
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 IlSwimming Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
Public/semi-private
Contractor Contractor
a 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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ib.-INCLUDE THE FOLLOWING:
B All roadways, driveways & easments 0 Underground utilities
21 Distances from center of roads, right of ways, ill North arrow
private roads & property lines B Septic tanks & wells
El All existing & proposed buildings