1993, 12-14 Permit App: 93011940 Addition PROJECT NUMBER= 93011940 APPLICATION DATE= 12/14/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 15520 E 11TH AVE PARCEL#= 45243. 0202
ADDRESS= VERADALE WA 99037
PERMIT USE= ADDITION ONTO EXISTING POLE BARN
PLAT#= 002316 PLAT NAME= ROTCHFORD ACRE TRACTS
BLOCK= 2 LOT= 2 ZONE= SR-1 DIST#= F
AREA= F/A= A WIDTH= 150 DEPTH= 300 R/W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= MACKLIN, WILLIAM PHONE= 509 926 7855
STREET= 15520 E 11TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= WILLIAM MACKLIN PHONE NUMBER= 509 926 7855
BUILDING SETBACKS: FRONT= NA LEFT= 85 RIGHT= 5 REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED �"�
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE V /l 4t60G(467494),kiA
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 10 STORIES= 1
BLDG W X D = 20 X 60 SQ FT= 1200 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
ADDITION M-1 VN 1200 9600. 00
PROJECT NUMBER= 93011940 APPLICATION DATE= 12/14/93 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: JOHN LARSON
PRINTED BY: JOHN LARSON
******************************** THANK YOU ************************************
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APPLICATION WORKSHEET 11
1 General Information y
IParcel number i Job address
Phone
Owner '? —7 5
Mailin'gaddress C I
l 55-2 ( 7 T Zip
City State
�/�/A019LC lc-- - 9r, 3 '7
Site Information
Legal Description
Property size
Water Distnct Number ot: DwellmgS Buildings
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[ Project Information II
New Addl. on 1 Remodel I Changeoluse
Yer t Use
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I_ Building Information `
Stories
Dwelling units Occupant load Building bele)
Building dimensions Total square footage Req'd i ng I Handicap parking Sprinkler system I(-lineal Material
2' x6O
Heating and insulation information (R—values)
�9acro[Dotage breakdown Uncovered/covered deck Heat source
Main floor
Second door
Other Mat ceiling Vaulted ceiling Above grade wall
Below grade wall Floor Slab on grade
Finished basement
Door(u—value) Window Furnace etticency
Unfinished basement
Total window area %of floor area
Garage
Contractor Information II
Building contractor Plumbing contractor
License number
Phone License number Phone
r Mailing address
Mailing address C
City,state,zip
City,state,zip
Other/Lender
Heating contractor
License number
Phone License number Phone
Mailing address
Mailing address
City;state,zip
City,state,zip
^PROJECT CONTACT PHONE II
II J
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane,Wa 99260 * (509) 456-3675
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