1995, 09-29 Permit App 95007885 AdditionPROJECT NUMBER= 95007885 APPLICATION DATE= 09/29/95
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18207 E INDIANA AVE PARCEL#= 55074.0614
ADDRESS= GREENACRES WA 99016
PERMIT USE= RESIDENCE ADDITION- FAMILY ROOM & BASEMENT STORAGE AREA
PLAT#= 000000
BLOCK= 20
AREA=
# OF BLDGS= 1
PLAT NAME= UNKNOWN
LOT= ZONE= SR-1
F/A= A WIDTH=
# DWELLINGS= 1 WATER DIST =
OWNER= PIERSON, MIKE
STREET= 18207 E INDIANA AVE
ADDRESS= GREENACRES WA 99016
DIST#=
DEPTH=
G
R/W= 40
PHONE= 509 926 5565
CONTACT NAME= TED ARNOLD PHONE NUMBER= 509 993 2025
BUILDING SETBACKS: FRONT= EXIS LEFT= 25 RIGHT= 17 REAR= 20+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
BUILDING
COMMENTS:
REVIEW REQUIREMENT
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
/0",2A--
******************************* BUILDING PERMIT *******************************
CONTRACTOR= TED RAY ARNOLD
STREET= PO BOX 20
ADDRESS= MICA WA 99023
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
24 X 24 SQ FT=
#HANDICAP=
DESCRIPTION GRO
BASEMENT U
RES ADD
PHONE= 509 922 5409
ADDITION= X CHANGE OF USE=
BLDG HGT= 17 STORIES= 1
576 SPRINKLER= N
CRITICAL MAT= N
UP TYPE SQ FT
R-3 VN
R-3 VN
576
576
VALUATION
6336.00
33408.00
PROJECT NUMBER= 95007885 APPLICATION DATE= 09/29/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 349.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 66.41
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 420.41 .00 420.41
420.41
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 420.41
******************************** THANK YOU ************************************
N
EAST 18207 INDIANA
GREENACRES WA 99016
FRONT PROPERTY
CENTER STREET
DREss. DC-)
ONE
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RRONT Git 15 FLANKING:
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