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1995, 08-21 Permit App: 95006526 Pole BldgPROJECT NUMBER= 95006526 APPLICATION DATE= 08/21/95 PAGE= 01 4 THIS IS NOT A PERMIT PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 11518 E 4TH AVE PARCEL#= 45211.1906 ADDRESS= SPOKANE WA 99206 PERMIT USE= POLE BUILDING ONTO EXISTING GARAGE PLAT#= 001839 PLAT NAME= OPP.TR. 1-354 BLOCK= 192 LOT= ZONE= UR 3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= 80 DEPTH= 240 R/W= 40 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= PATTERSON, WILLIAM STREET= 11518 E 4TH AVE ADDRESS= SPOKANE WA 99206 PHONE= 509 924 4688 CONTACT NAME= WILLIAM PATTERSON PHONE NUMBER= 509 924 4688 BUILDING SETBACKS: FRONT= NA LEFT= 56 RIGHT= 5 REAR= 102 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRED COMMENTS: HEALTHDIST INCREASE IN LOT COVERAGE COMMENTS: r -e_}2,c) c_)/ ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= REMODEL= ADDITION= X CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1 BLDG W X D = 24 X 36 SQ FT= 864 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION STORAGE U-1 VN 864 10368.00 PROJECT NUMBER= 95006526 APPLICATION DATE= 08/21/95 PAGE= 02 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 126.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 22.68 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 153.18 .00 153.18 153.18 PROCESSED BY: JOHN LARSON PRINTED BY: JULIE SHATTO .00 153.18 ******************************** THANK YOU ************************************ N Y 0. m 0 APPLICATION -INFORMATION 'What is the JOB SITE address? 76-7KT/Y 777° Legal description as it appears on the property deed ASSESSOR'S tax parcel number? OWNERpr OCCUPANT ling ad•ress 47/5/(7 % Whoaho d we contact regarding this pro ect? �}II ��–QA/dc w'J yir0 — -, City, state ZP Phone .%1 %-rrit What work is being done under this permit? it-- 41- ;t;a eP46 e/sAtalla Contractor Building height Dimensions # of stories TOTAL SQUARE FOOTAGE 0 U) 2 Y 0 m 3 WA State Contractor license # Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks, etc. What is the heat source) What is the cost of your project) Manufactured Hol -40 Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor Wa State Contractor license # We State Contractor license # Mailing address Mailing address Relocation Fire gafetyr 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 ,i,1011;$` fagg 'dank i??In9 PO (Circle one) Above -ground Underground Contents of tank(s) Size / gallons Size / gallon 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. • • • HO L./ _s- •er—