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1995, 10-06 Permit App: 95008163 Addition PROJECT NUMBER= 95008163 APPLICATION DATE= 10/06/95 PAGE= 01 ****** THIS IS NUT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 15909 E 14TH AVE PARCEL#= 45243. 0405 ADDRESS= VERADALE WA 99037 PERMIT USE= RES ADD-EXTEND DINING ROOM & REPLACE FIREPLACE HEARTH/FACE PLAT#= 002316 PLAT NAME= ROTCHFORD ACRE TRACTS BLOCK= 4 LOT= 5 ZONE= SR-1 DIST#= F AREA= 00000000 F/A= F WIDTH= 159 DEPTH= 281 R/W= 60 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= NICHOLS, TOM & DONNA PHONE= 509 926 3426 STREET= 15909 E 14TH AVE ADDRESS= VERADALE WA 99037 CONTACT NAME= HANS RAUTH PHONE NUMBER= 509 458 5819 BUILDING SETBACKS: FRONT= NA LEFT= 35 RIGHT= NA REAR= NA ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW EQUIREI V1. 4-44) *4-44, COMMENTS: P"""• 0, . +/a;,' Eel c" BUILDING SETBACK REVIEW REQUIRED 7: 21 ' # +.' COMMENTS: 44, % Vie) HEALTHDI 1 INCREA 0, I LOT COVERAGE O /0) (+C c /�w�'v c Jk1 COMMENTS: ******************************* BUILDING PERMIT ******************************* CONTRACTOR= RAUTH MASONRY & CONSTRUCTION PHONE= 509 624 1715 STREET= 1928 E 40TH AVE ADDRESS= SPOKANE WA 99203 NEW= REMODEL= ADDITION= X CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1 BLDG W X D = 6 X 12 SQ FT= 72 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION REMODEL R-3 VN 1824 . 00 RES ADD R-3 VN 72 4176. 00 A •� w � 1 PROJECT NUMBER= 95008163 APPLICATION DATE= 10/06/95 PAGE= 02 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 81.00 STATE SURCHARGE Y 4 .50 RESIDENTIAL SURCHARGE Y\ 16.20 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 101.70 .00 101.70 101.70 .00 101.70 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO ******************************** THANK YOU ************************************ . •A APPLICATION INFORMATION What is the JOB SITE address? 1,/ cfQt.t- ASSESSOR'S tax parcel number? 51oSLf.59o9 /1 w z¢.5-43 - 0510S- Legal egal description as it appears on the pro rty deed OWNER or OCCUPANT i Phone awl X J ,1/e1°/ 9z,6- 3124, Mailing address City,state Zip Z. /S?oci / /1--- 141-44‘ /ti14- 99o37 Who should we contact regarding this project? Phone MHS �v 624-17/C or 'i15-0—S8ip What work is 4 j....74„.. /being done under this permit? / 9 /'.ice 4..4.c/� ;4;„„ „.. j pnti.t c 6'xtt7/� — :uv{ t a ,/4 iCee/?d+cR /' . .i4. dJ 444-4. Lone : ;;'.:IRsiector distract::: Pfopeffy size'/,: i .:::. Right of:way width>: Water district <. Q. � r : ..:�:.: .�::... �..;:.;�.;�:.:::':::� .....:'i:i:;:i:;:;:;:i'::;:..�::iiiii iiii:iii ii: ” Building Building height #of stories Contractor �+ J/ // Dimensions TOTAL SQUARE FOOTAGE ?Cao fWl, c,i 6 (,uhSf; WA State Contractor license Main floor area Unfinished basement area leu rNn46o Ib J-N Mailing address 2nd floor area Finished basement area E (9Z6, 16 4, z„,, 0(4 912.0_ Architect/Engineer Garage area Size of decks,etc. What is the heat source? ,...— What is the cost of your project? 1ed �Y I P 1 116,00e Manufactured Home Si n g:. 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 RelocationFire;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 .. 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. 4 _ • •0 00G 40)9 7 /.4 I �� al � pp- ADDRES : - ZONE -"` ROAD WIDTH. � RONT'�-'�'FLANKIN � �� COMMENTS: I. REIEvED @Y , �iI - Ax .z--)r./ '