1995, 03-17 Permit App 95001518 Storage Bldg PROJECT NUMBER= 95001518 APPLICATION DATE= 03/17/95 PAGE= 01
****** THIS IS NOTA PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
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SITE STREET= 15206 E 13TH AVE PARCEL#= 45234 .3101
ADDRESS= VERADALE WA 99037
PERMIT USE= DETACHED STORAGE BUILDING
PLAT#= 000370 PLAT NAME= CHERRY BLOSSOM ADD
BLOCK= LOT= ZONE= UR-3 . 5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 98 DEPTH= 125 R/W= 50
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= SMITH, GENE PHONE= 509 928 2744
STREET= 15206 E 13TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= JERRY COUCH - MOMB PHONE NUMBER= 509 928 2744
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= 5 REAR= 5
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
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BUILDING PLAN REVIEW REQUIRED ?
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****************** ************ BUILDING PERMIT *******************************
CONTRACTOR= MOMB STEEL BUILDINGS INC PHONE= 509 226 3386
STREET= BOX 141632
ADDRESS= SPOKANE WA 99214
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 10 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 M-1 VN 864 10368 . 00
A
PROJECT NUMBER= 95001518 APPLICATION DATE= 03/17/95 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 . 00 153 . 18
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
15,aO( /3/t flue
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
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Mailing address City,state Zip
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Who should we contact regarding this project? Phone
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What work is being done utder this perp it?
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Lone Inspector di tact Property size / flight of way width
N G)
N H
Water district
+0.+ 4c
a) a)
O > 0
Building Building height #of stories
10 FT I JALLs
ContractMoM
Dimensions TOTAL SQUARE FOOTAGE
;29 wX 36 /..oN
/
WA State Contractor license# Main floor area Unfinished basement area
w1 6 P-'? 0s� � 2
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 Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
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
Fuel Storage Tanks Swimming Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
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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INCLUDE THE FOLLOWING:
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❑ Distances from center of roads, right of ways, 0 North arrow
private roads & property lines D Septic tanks & wells
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