1993, 09-14 Permit App 93008358 Pole BldgPROJECT NUMBER= 93008358 APPLICATION DATE= 09/14/93 PAGE= 01
THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17020 E INDIANA AVE PARCEL#=
ADDRESS= GREENACRES WA 99016 42.44. Q/l(j
PERMIT USE= POLE BUILDING
PLAT#= 002044 PLAT NAME= PLAT"A" GREENACRES IRR.DISTRIC
BLOCK= LOT= ZONE= I-2 DIST#= G
AREA= 00000000 F/A= A WIDTH= 120 DEPTH= 109 R/W= 40
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= POOLE, MAURICE L
STREET= 17020 E INDIANA AVE
ADDRESS= GREENACRES WA 99016
PHONE= 509 927 0353
CONTACT NAME= MAURICE POOLE PHONE NUMBER= 509 927 0353
BUILDING SETBACKS: FRONT= 45 LEFT= 40 RIGHT= 20+ REAR= 35
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
7
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
PLANNING INAPPROPRIATE USE WITHIN ZONE
COMMENTS: CLO})--(APA Litt ji-1-4J�q ,Q Jam(])
curl c4
6-7
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 11 STORIES= 1
BLDG W X D = 24 X 40 SQ FT= 960 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
•
PROJECT NUMBER= 93008358 APPLICATION 'DATE= 09/14/93 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
POLE BLDG M-1 VN 960 7680.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
PLNG-PERMIT REVIEW; 119 Y 20.00
RESIDENTIAL VALUATION Y 99.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 17.82
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 141.32 .00 141.32
141.32
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 141.32
******************************** THANK 'LOU************************************
APPLJCAT!ON WORKSHEET
L General Information 1
Tole �iJaress
. /70Zo ;tcP,6' _
I'arccl number
wncr
1Cialhng a'i ress
/ 7 L ?I)
city
Le_
frkdret yrC.�
/Je..,
State
Plane
9203s 3
Site Information
Legal Description
Property^sn..re—a /
I Div 6 (01
`Water Drstnet
"Number ol3
oaaw3t
Dwellings
Buildings
Project Information I
Permit Use
Poles
New /
Addition
Remodel
Change oI use
L, Building Information
Dwelling units
{
Occupantload
®
13ua1dingheighi
//e/
Stone
(/
udding dimensions
9 y'G,4 z/o'
"I Mat square Footage
1ieq'd pa t ing
D
Handicap parking
i
Sprinkler system
0
Cntical Material
0
Sguare footage breakdown
Main door
Uncovered / covered deck
Second floor
Other
Finished basement
UM-unshedbasement
-Um
rage
Contractor Information
Heating and insulation information (R—values)
Heat source
Flat ceding
Vaulted ceding
Above grade wall
Eelow grade wall
Floor
Slab on pade
Door (u—value)
Window
Furnace etl cency
fetal window area
% of door area
Uuddang contractor
Plum-bmg contractor
t
License number
('hone
License number
Phone
Mailing address
-Mailing address
City, state, zip
City, sia le, zap
I Ica ing contractor
Other / Lender
License number
I'hone
License number
Phone
Mailing address
-City,
Mailing address
state, zip
City, stale, zip
rROJEci coNrACI'
PI ION
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
Today's
date:
ORIGINAL SITE PLAN
Parcel number or
legal description:
Site address:
I'm proposing to build:
MEM
...N.
nip
111.1
1111111111111
1,111111111
111111111111
MEM
MAI
mum
ION
MEM
WINN
1114111•1111L8
LIMN "Orel 11
•
■
SHOW wox•nr
by placing an aria
:und an "Tr an one
of the above lines.
am
Ims:
ini -
1
...
In
1
R.
1
_1
1,1 T—
oil .--:
11.11
4-