1995, 05-16 Permit App 95003325 Pole BarnPROJECT NUMBER= 95003325 APPLtCAT'.ON DATE= 05/16/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4204 S DRIFTWOOD DR PARCEL#= 45324.1007
ADDRESS= SPOKANE WA 99206
PERMIT USE= POLE BARN
PLAT#= 002089 PLAT NAME= PONDEROSA ACRES 6TH ADD
BLOCK= 2 LOT= 7 ZONE= UR 3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= MC BARNEY, CHARLENE
STREET= 4204 S DRIFTWOOD DR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JAY LINDSEY
PHONE= 509 928 7821
PHONE NUMBER= 509 924 3832
BUILDING SETBACKS: FRONT= 100 LEFT= 7 RIGHT= 50 REAR= 50
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
Jcd
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 36 X 40 SQ FT= 1440 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE M-1 VN 1440 17280.00
PROJECT NUMBER= 95003325 APPLICATiON DATE= 05/16/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 189.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 34.02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 227.52 .00 227.52
227.52
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 227.52
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address?
Legal description as it appears on the property deed
/ ASSESSOR'S tax parcel number?
/ Pc (7: I-r a
OWNER or OCCUPANT
C
Mailing address
42
Who should we contact regarding this project?
What'%(rork is bein
Phone
S°/ %2
City, state
`Q
Phone
Zip
done under this permit?
4i i3tV
at
co
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n
m
0
Building;
Contractor
WA State Contractor license #
Building height
Dimensions
Main floor area
# of stories
TOTAL SQUARE FOOTAGE
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 Ho
me
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
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
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
5wjmmmg tool
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
S.Jokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
❑ North arrow
Cl Septic tanks & wells
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