1996, 05-16 Permit App 96003503 Garage to Sewing RoomPROJECT NUMBER= 96003503 APPLICATION DATE= 05/16/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18116 E INDIANA AVE PARCEL#= 55074.1144
ADDRESS= GREENACRES WA 99016
PERMIT USE= CHANGE GARAGE INTO SEWING ROOF
PLAT#= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR 3.5 DIST#= G
AREA= F/A= A WIDTH= DEPTH= R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= JEFFRIES, WANDA
STREET= 18116 E INDIANA AVE
ADDRESS= GREENACRES WA 99016
PHONE= 509 926 7002
CONTACT NAME= DAVID JEFFRIES PHONE NUMBER= 509 926 7002
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J LARSON DATE: 05/16/96
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 500.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 35.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 7.70
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 96003503 APPLICATION DATE= 05/16/96 PAGE= 02
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PERMIT TYPE
BUILDING PERMIT 47.20
47.20
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00
47.20
.00 47.20
******************************** THANK YOU ************************************
Site Plan
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
❑ All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
Legal description as it appears on the property deed
OWNER or OCCUPANT
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Phone
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Mailing address City, state
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Who should we contact regarding this project?
Phone
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Zip
What work is being done under this permit?
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Contractor
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erope_.::SIZQ ie i; ii2i pi :<i' ? 3 i i' < Right:ot vay.Vndthi:iiii i>:Y i it ii
Building height
cti 4-
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
3/C 4;h, .
WA State Contractor license, #
Mailing address
Main floor area
Unfinished basement area
r,
2nd floor area
Finished baserrrbnt area
ArchitectEngineer
Garage area
�321X15
Size of decks, e&c.
What is the heat source? c
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What is the cost of your project?
Manufactured Horne
Sign
�4.
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
L'
Wa State Contractor licen #
,,VpLnStateContractor -license #.
Mailing address
Mailing address
Relocation»
Fir.:eSafet
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
ALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
1
Fuel
orage
ank
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Contractor
Size / gallons
Size / gallons
Private
Contractor
Public/semi-private
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.