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
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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 ************************************
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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.
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