1995, 09-20 Permit App 95007549 AdditionPR03ECT•4UMBER= „95007549 APPLICATION DATE= 09/20/95 PAGE= 01
****** THIS IS NOTA PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
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SITE STREET= 17701 E COWLEY AVE
ADDRESS= GREENACRES WA 99016
PARCEL#= 55183.0652
PERMIT USE= DINING ROOM ADDITION WITH FULL BASEMENT
PLAT#= 000500 PLAT NAME= CORBIN ADD TO GREENACRES
BLOCK= 17 LOT= 15 ZONE= UR 3.5 DIST#= G
AREA= F/A= F WIDTH= DEPTH= R/W= 40
# OF BLDGS= # DWELLINGS= WATER DIST =
OWNER= ERICKSON, RICHARD PHONE= 509 924 5472
STREET= 17701 E COWLEY AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= JOE ZABAWA PHONE NUMBER= 509 325 4931
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= 40 REAR= 200
REVIEW INFORMATION
DEPARTMENT REVIEW REQUIREMENT
---------------------------------------------------------------
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J LARSON
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J LARSON
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
DATE: 09/20/95
DATE: 09/20/95
1iWo 9 Z3 h wi _
BUILDING PERMIT
CONTRACTOR= WEDGE CONTRACTING INC. PHONE= 509 325 4931
STREET= 560607 W RIFLECLUB RD
ADDRESS= SPOKANE WA 99208
NEW= REMODEL= ADDITION= X CHANGE OF USE -
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 16 X 20 SQ FT= 640 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
----------- ----- ---- ----- ---------
BASEMENT U R-3 VN 320 3520.00
RES ADD R-3 VN 320 18560.00
PROJECT NUMBER= 95007549 APPLICATION, DATE= 09/20/95 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
RESIDENTIAL VALUATION Y 234.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 44.46
:t*,t**:t•*** «:«rr+,t***+* MECHANICAL PERMIT *+***+++++w+<
CONTRACTOR= WEDGE CONTRACTING INC. PHONE= 509 325 4931
STREET= 560607 W RIFLECLUB RD
ADDRESS= SPOKANE WA 99208
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
DUCT SYSTEMS 1 10.00
PLUMBING PERMIT******«+w***+<+
CONTRACTOR= PHONE=
STREET=
ADDRESS=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
BUILDING PERMIT 282.96 .00 282.96
MECHANICAL PRMT 10.00 .00 10.00
------------- ------------ -------------
292.96 .00 292.96
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
THANK YOU
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
c 70 i
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
Rte r0 ac C:�;eio'esfo�
Mailing address --7 City, state Ip
Gad17 0 � C`L� Z c7 L�% il�D
Who should we contact regarding this project? Phone
F 12 111�iq
What work is being done under this permit?
16"92-r.,' "0 (1-70A`-> 1-7i�, / 5"i 7 j t1U� lei
Zone
Inspector district
Property size
Right of way width
Water district
Building
Building height
#of stories f
C��onn�trgqactto�or//��77
Dimensions
TOTAL SQUARE FOO AGE
A State Contractor license #
v� 6Fe'li M K
Main floor area
lin'
Unfinished basement area
m/mg a rasa
605 Liu.), R/�LEZi_ r2�
560!5
n loor area
lois a asement area
Afchitect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
Foleet-1) /� //�
What is the cost of your project
9,5noo OC:
Manufactured Home
Sign
Width :
Length:
What is the square footage of
the sign face?
How high is the sign]
Year:
Make:
Installer
Contractor
We State Contractor license #
We 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 ISwimminq
Pool
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s) Size / gallons
Public/semi-private
Contractor
Contractor
a State Contractor license If
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.
Site Plan
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments ❑ Underground utilities
❑ Distances from center of roads, right of ways, ❑ North arrow
private roads & property lines ❑ Septic tanks & wells
0 All existing & proposed buildings
PERMIT SITE PLAN
ZONE:
ROAD WIDTH: --
FRONT FLANKI G:
COMMENTS:
REVIEWED BY*
LEGAL DESCRIPTION:
OWNER: . A/L
R jcH/oee- OR
RESIDENT IAL STREET
COMMERCIAL
PROJECT NO:
i
JOB ADDRESS
ALLEY OR A/L
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REAR REAR
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HOUSE
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0121 wrl�
FRONT
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OR
STREET