2001, 07-10 Permit App: 01005525 DeckProject Number: 01005525 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/10/01 Page 1 of 2
Project Information:
Permit Use: DECK ADDITION TO EXISTING MANUF HOME
Setbacks: Front
Site Information:
Left:
Right: 32 Rear:
Contact: NIELD, LARRY J & SHERRY L
Address: 17106 E 5TH AVE
C - S - Z: GREENACRES, WA 99016-9328
Phone: (509) 922-9127
Group Name:
Project Name:
Plat Key: 000078 Name: APPLE VALLEY ESTATES 2ND ADD.
Parcel Number: 55192.1901 Block: 4 Lot: 1
SiteAddress: 17106 E 5TH AVE
GREENACRES, WA USA 99016
Location:: GRE
Zoning: UR -7
Water District:
Area: 13,200 Sq Ft
Nbr of Bldgs:
Urban Residential -7
Width: 85
2 Nbr of Dwellings: 1
District: G
Owner: Name: NIELD, LARRY J & SHERRY L
Address: 17106 E 5TH AVE
GREENACRES, WA 99016-9328
Hold: ❑
Depth: 165 Right Of Way (ft): 50
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Originally Released:
Plan Review
Originally Released:
Permits: .:.:IA,ai ,.
Released By:
7/10/01 By: jshatto
Released By:
7/10/01 By: jshatto
Project Number: 01005525 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/10/01 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
DECK R-3 VN 160 $1,177.60 160 $1,177.60
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 160 $1,177.60 160 $1,177.60
Units Unit Desc
1
1
1
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Fee Amount
$41.25
$4.50
$9.07
$54.82
Payment Summary:
Operator: JAS Printed By: JAS Print Date:
Permit Type Fee Amount Invoice Amount Amount Paid
Building Permit $54.82 $54.82 $0.00
$54.82
Notes:
$54.82 $0.00
7/10/01
Amount Owing
$54.82
$54.82
This site ;,;an is being submitted for thepurpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, cu lines. structures and easement
have been identifi::i Also indicated are wetlands,
bodies of water ep sly' or other critical areas.
Signed:_
Date: 7"-//
C
Y"
ADDRESS J ?! a
%ADWDTH
5-0 �.
FRONT FLANKINGc . $.10.4046COMMENTS _
REVIEWED �iq
�A„},
I 45