1995, 08-21 Permit App: 95006526 Pole BldgPROJECT NUMBER= 95006526 APPLICATION DATE= 08/21/95 PAGE= 01
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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:
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******************************* 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 ************************************
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APPLICATION -INFORMATION
'What is the JOB SITE address?
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Legal description as it appears on the property deed
ASSESSOR'S tax parcel number?
OWNERpr OCCUPANT
ling ad•ress
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Whoaho d we contact regarding this pro ect?
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City, state
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Phone
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What work is being done under this permit?
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Contractor
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
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2
Y
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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.
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