1997, 02-18 Permit App: 97000807 Pole BldgPROJECT NUMBER= 97000807 APPLICATION DATE= 02/18/97 PAGE= 01
(� ' ****** THIS IS NOT A PERMIT ******
1\� PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 16018 E HEROY AVE PARCEL#= 45012.2306
ADDRESS= SPOKANE WA 99216
PERMIT USE= 24 X 40 POLE BUILDING
PLAT#= 002847 PLAT NAME= WELLESLEY MANOR 1ST ADD
BLOCK= 3 LOT= 6 ZONE= UR -3.5 DIST#= H
AREA= 00016640 F/A= F WIDTH= 104 DEPTH= 160 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST
OWNER= TAYLOR, JEFF
STREET= 16018 E HEROY AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 921 9652
CONTACT NAME= JEFF TAYLOR PHONE NUMBER= 509 921 9652
BUILDING SETBACKS: FRONT= 110 LEFT= 5 RIGHT= 76 REAR= 15
****************************** REVIEW INFORMATION ****************+************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J. LARSON DATE: 02/18/97
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: C. HARGRAVE DATE: 02/18/97
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 14 STORIES= 1
BLDG W X D = 24 X 40 SQ FT= 960 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
POLE BLDG U-1 VN 960 11520.00
PROJECT NUMBER= 97000807 APPLICATION.. DATE= 02/18/97 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 188.00
RESIDENTIAL SURCHARGE Y 41.36
STATE SURCHARGE Y 4.50
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 233.86 .00 233.86
233.86
PROCESSED BY: CHRISTY HARGRAVE
PRINTED BY: CHRISTY HARGRAVE
.00 233.86
******************************** THANK YOU ************************************
SPOKANE COUNTY HEALTH DISTRICT
: E10. PLOEGER, M. D.; M.P:H., HEALTH?OFFICER t; c
N. 819 Jefferson Street
.Spokane, Washington 99201, ,
r. -c-
,
,PERMI•T NO. ���JL +, 7 S
-7/
Jr .Ir
'.,N° 08'755,..f
APPLICA ION FOR PE AIT TO INSTALL OR RECONSTRUCT.SEWAGE.,DISPOSSAL.FACILITIES
Name' Address /� 070 e /( /�/ y�
Phone No/ar C! y�f
Address of Prop d Site /% �(% / U L v
Type of Use
Number of,Bedi•ogmseing Capacity
Is basement for buildin
armed)
Camp Capacity Other
Water Supply ' -4L� -r, (City, Well, Spring). Drywell ••
Septic tank capacity ��++
Length of disposal fiel(� Absorption Pits • - leach Bed
gals Style of tank
(1) Show relative location of: Proposed house, septic tank, -
disposal -field,- well, garage and other out buildings.
(2) Make note of any heavy slope or swampy area or any
other important topographic details.
•
Installer
b° I
toe
Gt_
Final Inspection Date
Remarks
/1 �\\
C
IMC LI1.AIICn4 r i�
nc
SYSTE1i nnrcchrrrn nv THF D; at.wlfNG
I5 NOT TO BE CONSTRUED AS AN
EXACT LOCATION Of THE SYSTEM,
For Spokane County Health District
arm, -f' 6.57'
75
Flo Y
105
uRIVF_WAY
ADDRESS: \ k`-'47- o
ZONE: - •S
ROAD WIDTH:
FRONT. \ FLANKING: rt l 4
COMMENTS:
REVIEWED BY. Com.
tori, Hb u s'=
24X'40
BUILDING,
TA1JK
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DEC K
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FIELD
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