1995, 04-04 Permit App 95002003 Add to GaragePROJECT NUMBER= 95002003 APPLICATION DATE= 04/04/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17719 E BROADWAY AVE PARCEL#= 55182.3157
ADDRESS= GREENACRES WA 99016
PERMIT USE= GARAGE ADDITION
PLAT#= 001064 PLAT NAME= GREENHAVEN ADD
BLOCK= 31 LOT= ZONE= UR-3.5 DIST#= G
AREA= F/A= F WIDTH= DEPTH= R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = UNKNOWN
OWNER= MELUIK, ANATOLIY
STREET= 17719 E BROADWAY AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= ANATOLIY MELUIK
PHONE= 509 928 5718
PHONE NUMBER= 509 928 5718
BUILDING SETBACKS: FRONT= 45+ LEFT= 4 RIGHT= NA REAR= 250
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
A?e -,. ( /7.e__- sty HEALTHDIST
HEALTHDIST INCREASE IN LOT COVERAGE p/�/ f - y ) c t \-f L 1`C3-
COMMENTS:
PLANNING INADEQUATE SIDE YARD SETBACK e C k- ()K
COMMENTS: m i ruvn U ✓r) yDca 1 - r
******************************* BUILDING liERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 9 STORIES= 1
BLDG W X D = 10 X 21 SQ FT= 210 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 95002003 APPLICATION DATE= 04/04/95 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE M-1 VN 210 2520.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 54.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 9.72
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 68.22 .00 68.22
68.22
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 68.22
******************************** THANK YOU ************************************
APPLICATION INFORMATION (720d3
a)
to
4-,
Q
a)
hat is the JOB SITE address?
ASSESSOR'S tax parcel number?
s[:2.3I �7
Legal description as it appears on the property deed
OWNER or OCCUPA f
777/9 E 42o > 2>
Mailing address
�LGG
City, state
Phone
Zip
ho should we contact regarding this project?
Phone
What work is being done under this permit?
Lontractor
WA State Contractor license #
Mailing address
Architect/Engineer
What is the heat source?
Length:
Installer
Wa State Contractor license #
Mailing address
Previous address
Contractor
WA State Contractor license #
Mailing address
Fuel Storage Tanks
(Circle one) Above -ground Underground
Contents of tank(s)
Contractor
Wa State Contractor license #
Mailing address
Size / gallons
Building height
Dimensions
Main floor area
2nd floor area
Garage area
What is the cost of your project?
What is the square footage of
the sign face?
Contractor
Wa State Contractor license #
Mailing address
Fire Sprinkler
Paint booth Fire Alarm
VALUE
Contractor
WA State Contractor license #
Mailing address
Size / gallons
Contractor
WA State Contractor license #
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.
# of stories
TOTAL SQUARE FOOTAGE
Unfinished basement area
Finished basement area
Size of decks, etc.
How high is the sign?
Tent
Fireworks display
Private
Public/semi-private
ar
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ADDRESS
ZONE
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o r
Pal SET r \ D
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TRW IRE.? #m
CENTERRE E � 7AV
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33 ,NEa7mT1ONE...
SPOKANE COUNTY PLANNING DEPARTMENT
APPLICATION FOR ADMINISTRATIVE EXCEPTION
(OTHER THAN LACK OF PUBLIC STREET FRONTAGE) -
"
o .•'t?d' A. GEMflAL • INFORMATION
fq"l YRAT014 V'
k$Lfl�ant:,per SLPI �G��Gq ��G/ Agent
iim","'address: /7 /' f ` fJ,aez i/22CZ
City: tr222td G�ly�j�DC/> 7 p State:
y PHONE - Home: P -5 /Q Work:
If applicant is not owner of property, need written authorization for applicant to serve as agent.
Legal owner(s)' name: 30 Vn Q S a bOVe., Phone:
Authorized agent(s)' name: Phone: Parcel No(s).: SS 1 % a - 3) 5.7 Section: Township: a 5J Range: , f5
Legal description:
FILE NO.: AE - `i 3- as
GIP Code: S7 C/6
Current zoning:
Arterial Road Plan; p'
Comprehensive Plan: LA ()ouf)
Current use of parcel: r° Sat tc °U'YI G;,r�(�Q f�
Street Address of Subject Parcel: 1-7 % IA Gt a
B. SPECIFIC INFORMATION
Adminis
pile
ive exception requ
coo— exc
rA a,not w
j 71I,YIt .
ft_ (des b itt t of Stan, . d from which seeking relief):
� /oath-D 10-e4n
a (t fij�h+ S e. yr cery o
ftofi Ceflo a,t, n4 ✓9-tiA: 4.: to:/
-3r,asrim mot
Applicable chapter/section of Code: • �•�•�••. 1 5 010 taloa d C 1 J\
Explain,reason for request: —1'0 at tow SOVnO49 e,4- (an) Car 0a-reeit, 11) Uri" bi-e_ 11.A.k) a.) car—
c�Sl
s 0
Attach site plan with proper dimensions and other supportive information.
Page 1 of 2
I swear, under penalty of perjury, that (1) I am the owner of record or authorized agent for the proposed site; (2) if
not the owner, written permission from said owner authorizing my actions on his/her behalf is attached; and (3) all
of the above responses and those on supporting documentsare made truthfully and to th best of myknowledge.
Name. - S V E / s L A /
4 4 / K
ttt„.'Taa.ttI
State of Washington
County of Spokane
Signed: SP- Wae e-G% G(i M(/'
ss:
" s
NOTARY
On this day personally appeared before me SY eT L A N E} CL 1 iK
to me known to be the individual(s) described in and who executed the within and foregoing instnt eN{
acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed, for t fty
purposes therein mentioned GIVEN under my hand and official seal this `/1/(
1*
1�,
sf js
—147)1V& ('?' °JAn a
NOTARY PUBLIC in and for the state of Washington, residing at /
My appointment expires
PLANNING DEPARTMENT PERSONNEL ONLY
THE PLANNING DEPARTMENT APPROVES/DENIES THIS "ADMINISTRATIVE
File No: AE c-13 -.35
EXCEPTION" FOR THE PROPERTY
COUNTY, SECTIONS 14506.000 AND
CONDITIONS AND/OR STIPULATIONS:
of the Zoning Code.
County Health District and/or Utilities
public water systems.
DESCRIBED 4QVE, PURSUANT TO THE ZONING CODE OF SPOKANE
14.506.020 1 .
THIS ADMINISTRATIVE EXCEPTION IS SUBJECT TO THE FOLLOWING
1. The applicant shall comply with all regbirements and regulations
The applicant shall comply with all requirements of the Spokane
Department regarding wastewater disposal and on -site water or
3. The applicant shall comply with the following additional conditions:
THIS ADMINISTRATIVE EXCEPTION SHALL RUN WTTH T E LAND.
DATED THIS —I ell DAY OF
191�Snn
THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
IF APPLICABLE
NOTE: THE APPLICANT OR ANINFERBSTED PMtry MAY FILE AN AP!'EAL Wx1B1N) CALENDAR DAYS OPTHW
ABOVE DATE OF SIGNING. APPEAL MUSTBEACCOMPANIED BY a. APPEALS MAYBE FILED ATTHE
SPOKANECOUNTYPIANNINGDEPARTMENT,BROADWAYCENTREBUI DING,NORTH721JEFFERSONSTREEP
SPOKANE, WA 99260 (Section 14.412.041 of the Zoning Code of Spokane County)
SPOKANE COUNTY PLANNING DEPARTMENT, IgnIgifearabN, SPOKANE, WA99260
(509) 456-2205•
-
RP-AE App.
Rev.10/91
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