1995, 05-02 Permit App: 95002875 Addition, Remodel PROJECT NUMBER= 95002875 APPLICATION DATE= 05/02/95 PAGE= 01
****** THIS IS NOT A •PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 15722 E 14TH AVE PARCEL#= 45243. 0306
ADDRESS= VERADALE WA 99037
PERMIT USE= GARAGE ADDITION/CONVERT EXISTING GARAGE TO LIVING SPACE
PLAT#= 002316 PLAT NAME= ROTCHFORD ACRE TRACTS
BLOCK= 3 LOT= 6 ZONE= SR-1 DIST#= F
AREA= 00000000 F/A= F WIDTH= 160 DEPTH= 279 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 10 WATER DIST =
OWNER= RICE, MICHAEL & DIANE PHONE= 509 926 1842
STREET= 15722 E 14TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= DIANE RICE PHONE NUMBER= 509 926 1842
BUILDING SETBACKS: FRONT= 30 LEFT= 45 RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED (t,t *0,`j, )L. S ' 2 "` S
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED � .4. , 6.2'"
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE .J1/}61-At Z/C2 L �/"�
COMMENTS: 5772-A-
*******************************
-A-
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= X CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= STORIES= 1
BLDG W X D = 24 X 25 SQ FT= 576 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE M-1 VN 576 6912 .00
REMODEL R-3 VN 3000.00
PROJECT NUMBER= 95002875 APPLICATJON DATE= 05/02/95 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 117.00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 21.06
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 142 .56 .00 142 .56
142 .56 . 00 142 .56
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
•
APPLICATION INFORMATION
'4"..." What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
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OWNER or OCCUPANT Phone
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Mailing address 9ty,state Zip
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Who should we contact regarding this project? Phone
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What work is being done under this permit? LIT C)W,
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Inspector dlOpO Property.size 1{Ight of way w1dU1
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/ Builth Building height 3 #of stories
Contractor Dimensions / TOTAL SQUARE FOOTAGE
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WA State Contractor license* Main floor area ] Unfinished basement area
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Mailing address 2nd floor area Finished basement area
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Architect/Engineer Garage area Size of decks,etc.
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Whet is the heat source? What is the cost of your project?
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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
Fuer Storage Tanks Swimming Pool
(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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