1993, 09-01 Permit App: 93007783 Pole Barn PROJECT NUMBER= 93007783 APPLICATION DATE= 09/01/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1214 S PROGRESS RD PARCEL#= 45234 . 1209
ADDRESS= VERADALE WA 99037
PERMIT USE= POLE BARN
PLAT#= 002751 PLAT NAME= VERA
BLOCK= LOT= ZONE= UR3. 5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 75 DEPTH= 150 R/W= 40
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= MADDEN, FRANK PHONE= 509 924 6497
STREET= 10601 E NIXON LN
ADDRESS= SPOKANE WA 99206
CONTACT NAME= KEVIN MAD --, ._-, "09'4 NUMBER= 509 926 6713
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BUILDING SETBACKS: FRON = NA LEFT= _Na"-- RIG NA REAR= -Ad �
DEN
****************************** REVIEW INFO• .4 e1 *****************************
DEPARTMENT REVIEW REQUIREMENT
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BUILDING PLAN REVIEW REQUIRED
COMMENTS:
1
BUILDING SETBACK REVIEW REQUIRED
COMMENTS: /'
HEALTHDIST INCREASE IN LOT COVERAGE C AP, y
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COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 24 X 48 SQ FT= 1152 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
POLE BARN M-1 VN 1152 9216. 00
PROJECT NUMBER= 93007783 APPLICATION DATE= 09/01/93 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION -Y 117 . 00
STATE SURCHARGE Y 4 . 50
RESIDENTIAL SURCHARGE Y 21. 06
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 142 .56 . 00 142 .56
142.56 . 00 142 .56
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
******************************** THANK YOU ************************************
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APPLICATION WORKSHEET
General Information
Job address ' Parcel number `
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Owner Phone
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Site Information
Legal Description
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Property size _,(' Water tract Number ol: Dwellings Bugs
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Project Information
Permit Use ^"l New , / Addition Remodel Change of use 1
Building Information j /7a- "Y'
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Dwelling units Occupant load -%/eBuddmg height i Stones
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Building dimensions Total square[Dotage Req'd parking l ndicap parting Sprinkler system Critical Material
S�q9uarfootage breakdown Heating and insulation information (R—values)
Main e loor Uncovered/covere pelts Heat source l�•/
Second Boor Other �!/i//T/ Flat ceiling Vsulted ceiling Above grade wall
-Finished basement Below grade wall Floor Slab on grade
Unfinished basement Door(u—value) Window l'umace etticency
Garage —1 otat window area %of floor area
Contractor Information
Buildrn contactor Plumbingcontractor l
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Lic number Phone License number Phone
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License number Phone License number Phone
Mailing address Mailing address
City,state,zip ' City,state,zip
PROJECT CONTACT L k lilac/dc/ PHONE 9,2 4/...4 6/ -'7
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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