1994, 06-20 Permit App 95005229 GaragePROJECT NUMBER=
�5 - 522R
APPLICATION
DATE= 06/20/94
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=
ADDRESS=
PERMIT USE=
16619 E BROADWAY AVE
VERADALE WA 99037
GARAGE/SHOP 34 X 44
PLAT#= 999999
BLOCK=
AREA=
# OF BLDGS= 1
OWNER=
STREET=
ADDRESS=
CONTACT NAME=
BUILDING SETBAC
PARCEL#= 45131.9004 & 9005
-/q/ - 1 "<
PLAT NAME= RANGE
LOT= 1 ZONE= UR-3.5 DIST#= F
F/A= F WIDTH= 185 DEPTH= 520 R/W= 40
# DWELLINGS= 1 WATER DIST =
PINCHE, GRANT
16619 E BROADWAY AVE
VERADALE WA 99037
PHONE= 509 922 6343
GRANT PICHE PHONE NUMBER= 509 922 6343
KS: FRONT= 300 LEFT= 40 RIGHT= 75 REAR= 250
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
,G, 7 - I4-(-- a5
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
OK Pee_ 514-e.
1G2 6 o gel
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
Con I Lt c_`F- Co - Cc ' J tom.)
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW= X
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
34 X 44 SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
POLE BLDG M-1 VN
PHONE=
ADDITION= CHANGE OF USE=
BLDG HGT= 18 STORIES= 1
1496 SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
1496 11968.00
PROJECT NUMBER= 94005677 APPLICATION DATE= 06/20/94 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 135.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 24.30
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 163.80 .00 163.80
163.80
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 163.80
******************************** THANK YOU ************************************
L APPLICATION WORKSHEET j� c7T - 5b-?
General Information
Job aft iress
/ ((6 / i GC B/PoAZ v11A y
I -Parcel number
Owner
Mailing address
/GC'/ 9
city
� eircc.
P/C- Hi=:
,s."' /c'::q 4 ✓. 4 i
Site Information
r
State
wt
Legal Description
ruonc
TZ 2- 63'�t3
7;p
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Project Information
Number oft Dwellings
Road width
Perm Use
roOut D / N
.,
Building Information
1.Dwelling units
Building dimensions
34x 44
New
Addition
Buildings
Remodel 1 Change of use
Occupant load
Building height,
IS
"1 otar squa r tootage
Req'd parking Handicap parking
�Quarc footage breakdown
Mam floor
14 Gl
Uncovered /covered deck
Second lloor
Other
rmished basement
Unfinished basement
Garage
LContractor Information
■
Stones
1
Spnnkler system Critical Material
Heatin_ and insulation information R—values
'eat source
gra•cwal
ornate e tceacy
13uildmg contractor
Plumbing contractor
Phone
License number Phone
License number
Mailing address
Mailing address
City, sure, zip
City, state, zip
Heating contractor
Other / Lender
PbOOe
License number Phone
License number
at inga Tess
Ma ding address
City, sta te, zip
City, state, zip
,
PROJECT CONTACT
G,'AN7 r'i CiJC
PIIONG
q22-&343
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675