1997, 07-28 Permit App 97005510 Adult Fam HomePROJECT NUMBER= 97005510 APPLICATION
PROJECT NUMBER= 97005510 APPLICATION
DATE= 07/28/97
DATE= 07/28/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 16423 E BROADWAY AVE
ADDRESS= VERADALE WA 99037
PARCEL#= 45131.9027PTN
PERMIT USE= ADULT FAMILY HOME - (4) LEVEL I & II CLIENTS
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
999999
00000000
1 #
PLAT NAME= RANGE
LOT= ZONE= UR-3.5 DIST#=
F/A= F WIDTH= 173 DEPTH=
DWELLINGS= 1 WATER DIST = VERA
OWNER= WESLEYAN CHURCH
STREET= 16423 E BROADWAY AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= JUDY SMITH
BUILDING SETBACKS: FRONT= 36
PHONE=
F
R/W= 40
PHONE NUMBER= 509 922 6351
LEFT= 42 RIGHT= 23 REAR= 48
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
HEALTHDIST
COMMENTS:
REVIEW REQUIREMENT
PLAN REVIEW REQUIRED
7 •?�8 •g'7
INCREASE IN LOT COVERAGE
.R o GA Le4 5-i2
l� 5' %p 7 -Li2 .7(
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
OCCUP. LD=
X SQ FT=
#HANDICAP=
ITEM DESCRIPTION
CHANGE OF USE/SAFETY INSP
PERMIT TYPE
BUILDING PERMIT
PHONE=
ADDITION= CHANGE OF USE= X
BLDG HGT= STORIES=
SPRINKLER= N
CRITICAL MAT= N
QUANTITY
FEE AMOUNT
50.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
50.00
50.00
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00
.00
50.00
50.00
PROJECT NUMBER= 97005510 APPLICATION DATE= 07/28/97 PAGE= 02
******************************** THANK YOU ************************************