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1993, 12-20 Permit App: 93012069 BasementI PROJECT NUMBER= 93012069 APPLICATION DATE= 12/20/93 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 14022 E 21ST AVE PARCEL#= 45262.2603 ADDRESS= VERADALE WA 99037 PERMIT USE= FINISH BEDROOM IN BASEMENT PLAT#= 003084 PLAT NAME= EARLY DAWN 2ND ADD BLOCK= 15 LOT= 3 ZONE= AGSUB DIST#= F AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= PALMER, JEFF & FLECK, CARRIE PHONE= 509 891 1837 STREET= 14022 E 21ST AVE ADDRESS= VERADALE WA 99037 CONTACT NAME= JEFF PALMER PHONE NUMBER= 509 891 1837 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA ****************************** REVIEW INFORMATION ***************************** DEPARTMENTREVIEW REQUIREMENT -----------------"+ --------------------- --------�---------------- BUILDING COMMENTS: PLAN REVIEW REQUIRED ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= REMODEL= X ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES= BLDG W X D= X SQ FT= SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION ----------- BEDROOM ----- ---- R-3 VN ----- --------- 1000.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- RESIDENTIAL VALUATION -------- Y ---------- 35.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 6.30 PERMIT TYPE --------------- FEE AMOUNT ------------- AMOUNT ------------ PAID AMOUNT OWING ------------- PROJECT NUMBER= 93012069 APPLICATION DATE= 12/20/93 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ----------------------------------------------------- BUILDING PERMIT 45.80 .00 45.80 ------------- ------------ ------------- 45.80 .00 45.80 PROCESSED BY: DAWN DOMPIER PRINTED BY: DAWN DOMPIER ******************************** THANK YOU ************************************ X- II A OLICATION WORKSHEET General Information f,.a "I o1"L 1�V� Q, os� arce num r �e ��►1 1 ALua`�r/2 A Ugg uftie 1CL K0g) 31 gailingaddress ^ VA , `J � n � �� tate zip Site Information Legal Description ccupant load ui ng height Stories ropertystze ater istrict um ero Dwellings Buildings :.Zone ,a nsT �Ctor- Road width Project Information Building Information Dwelling units ccupant load ui ng height Stories Building imensions Total square footage eq parking I Han icap pa rking bprinkler system -= a[ uarc foots a breakdown am oorUncovered /covered deck Second1loor Other Finished asement Floor Unfinished basement Door u-va ue Garage Furnace etticency Contractor Information Heatin and insulation information (R -values) ea[ source at cel mg Vaulted ceiling Above grade wall Below grade w Floor Slab on grade Door u-va ue mow Furnace etticency ota window ow area a o oor area Building contractor Plumbing contractor tcense num r Phone tcense num er Phone Mailingaddress Mailingaddress City. state, zip rty, state, zip Heating contractor Other / Lender License number Phone License number Phone Mailing address - Mailing address rty, state, ztprty, state, zip ACT Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 ( EMERGENCY EGRESS REQUIRMENTS • :1.C, 11 NET CLEAR OPENING - 5.7 2) NET CLEAR OPENING HEIGHT- 24 INCHESI 31 NET CLEAR OPENING WIDTH - 20 INCHESI 41 FINISHED SILL HEIGHT 44 INCHES ABOVE -al:WM+s+e U°" 9:0 WoMoc1) , c , .�f..c i it goox o � 3v2, C)