1996, 07-10 Permit App: 96005341 Storage ShedPROJECT NUMBER= 96005341 APPLICATION DATE= 07/10/96 PAGE= 01
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4419 N ELLEN RD PARCEL#= 45022.2209
ADDRESS= SPOKANE WA 99216'
PERMIT USE= RECONSTRUCT FIRE BURN STORAGE SHED
PLAT#= 002679 PLAT NAME=.TRIPLER&NUZUM'S ADD.
BLOCK= 2 LOT= 9 ZONE= UR3:5 DIST#= H
AREA= F/A= F WIDTH= 65 DEPTH= , 75 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = TRENTWOOD'
OWNER= EMMERSON, SCOTT
STREET= 4419 N ELLEN RD
ADDRESS= SPOKANE WA 99216
PHONE= 509 922 7925
CONTACT NAME= SCOTT EMERSON PHONE NUMBER= 509 922 7925
BUILDING SETBACKS: FRONT= NA LEFT= 50 RIGHT= 3 REAR= 5
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED,
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 18 X 13 SQ FT= 234 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
STORAGE U-1 VN 234
2808.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-------
RESIDENTIAL VALUATION
ENVIRONMENTAL REVIEW
RESIDENTIAL SURCHARGE
Y
Y
Y
00
25
PROJECT NUMBER= 96005341 .APPLICATION
PERMIT TYPE
FEE AMOUNT AMOUNT PAID
DATE= 07/10/96
AMOUNT OWING
BUILDING PERMIT 154.00 .00 154.00
154.00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 154.00
PAGE= 02
******************************** THANK YOU ************************************
APPLICATION INFORMATION
hat is the JOB SIT address?
ASSESSOR'S tax parcel number?
egal descriptio • as ' appears on the property deed
NER or OCCUPANT
Phone
g address
'7/ V19 //e ., ./2
4-.2 iv- 7
'9 0-79.25
City, state Zip
d we contact regarding this project
Phone
92 — 79.7
Wh t work is being done under this permit?
(1)
N
a
m
n
Inspector district:
Nropertysize;
.......................
ater district
B
Contractor
ROME 0(--.) �
Building height
/L/
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
N L/(//9 E/le, 12�.
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
N/rr
What is the cost of your project?
Manufactured Home
Si n.
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
RelOtatidriii
Fire Safety
Previous address
Fire Sprinkler
Tent
Paint booth _ Fire Alarm _ Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
IFuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
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.
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
0 All existing & proposed buildings
❑ Underground utilities
O North arrow
❑ Septic tanks & wells
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