1994, 03-29 Permit App: 94002547 Pole Building_ Contractor Information 1
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APPLICATION WORKSHEET
General Information
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Site Information
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Remodel
Change of use
Property size
Nater Datnct
Number of:
Dwellings
Buildings
Zone
inspector
Roadwidth
License number Phone
Project Information
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Occupant load
Buildup;height
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Sprinkler system
Critical Matenal
Square footage breakdown
Main floor
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Second floor
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PROJECT CONTACT
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Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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y S PROJECT NUMBER= 94002547 APPLICATION '
(� DATE= 03/29/94 PAGE= 01
\ ****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 202 S BLUEBERRY PL #11
ADDRESS= SPOKANE WA 99216
PERMIT USE= POLE BUILDING 19 X 24
PARCEL#= 45241.9126
PLAT#= MH0107 PLAT NAME= MEADOWBROOK VILLAGE
BLOCK= LOT= 11 ZONE= UR -7 DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 30
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= MASON, RICHARD
STREET= 15918 E CAMERON CT
ADDRESS= VERADALE WA 99037
CONTACT NAME= SCOTT DOUBET
PHONE= 509 928 5160
PHONE NUMBER= 509 467 1087
BUILDING SETBACKS: FRONT= 50 LEFT= 6 RIGHT= 3 REAR= 10
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
DK. t • 1 ,rn9 r et,
3/21194
******************************* BUILDING PERMIT *******************************
CONTRACTOR= DOUBET CONSTRUCTION
STREET= P.O. BOX 9191
ADDRESS= SPOKANE WA 99209
PHONE= 509 328 4564
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 19 X 24 SQ FT= 456 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
POLE BLDG M-1 VN 456 3648.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 63.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 11.34
PROJECT NUMBER= 94002547 APPLICATION DATE= 03/29/94 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 78.84 .00 78.84
78.84
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
********************************
THANK YOU
.00 78.84
REGISTERED AS PROVIDED BY LAW AS A:
.REGISTRATION oNUM8ER ..
, EXPIRATION DATE '
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