1993, 10-26 Permit App 93010335 CarportPROJECT NUMBER= 93010335 APPLICATION
DATE= 10/26/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17810 E BROADWAY AVE
ADDRESS= GREENACRES WA 99016
PERMIT USE= POLE BUILD - CARPORT
PLAT#= CONVRT PLAT NAME=
BLOCK= LOT=
AREA= 00024000 F/A=
# OF BLDGS= 1 # DWELLINGS=
OWNER= GIBSON, ROBERT
STREET= 17810 E BROADWAY AVE
ADDRESS= GREENACRES WA 99016
PARCEL#= 55183.1011
CONVERTED CNTY DATA
ZONE= UR 3.5 DIST#= G
F WIDTH= 100 DEPTH= 240 R/W= 20
1 WATER DIST =
CONTACT NAME= MARTIN BROWN
BUILDING SETBACKS: FRONT= 100+ LEFT= 6
PHONE= 509 928 4899
PHONE NUMBER= 509 484 2002
RIGHT= 50+ REAR= 25+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
BUILDING
COMMENTS:
HEALTHDIST
COMMENTS:
REVIEW REQUIREMENT
PLAN REVIEW REQUIRED
SETBACK REVIEW REQUIRED
INCREASE IN LOT COVERAGE
******************************* BUILDING PERMIT *******************************
CONTRACTOR=
STREET=
ADDRESS=
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
ATLAS STRUCTURES INC
3556 N MARKET ST
SPOKANE WA 99207
X REMODEL=
1 OCCUP. LD=
24 X 30 SQ FT=
#HANDICAP=
DESCRIPTION GROUP
CARPORT
TYPE
M-1 VN
PHONE= 509 484 2002
ADDITION= CHANGE OF USE=
BLDG HGT= 14 STORIES= 1
720 SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
720 5040.00
PROJECT NUMBER= 93010335 APPLICATION DATE= 10/26/93 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 81.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 14.58
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 100.08 .00 100.08
100.08
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 100.08
******************************** THANK YOU ************************************
APPLICATION WORKSHEET
General Information
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Job address /'
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Parcel number
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Owner
Mailing a ress t r,cgA2
City
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State
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Phone
Zip
Site Information
Legal Dcscnption
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Property size 7�
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Water Distnct
Number of:
Dwellings
_ Project Information 1
Buildings
Permit Use
New ✓
Addition
Remodel
Change of use i
Building Information
Dwelling unit
Occupant load
Building -height ,
Stones
UnticalMatenal
building dimensions
a2/x30
"lotalsquare tootage
7ao
Req'dpar}tng
Handicap parking
Sprinkler systm
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Square footage breakdown
Ma in floor
7 a... 0
Uncovered / covered deck
Second floor
"I---
Other
C.a f`ri CI —
Finished basement
Unfinished basement
Garage 41
Contractor Information
Heating and insulation information (R-values)
Heat source
Flat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u-value)
Window
Furnace ettioency
iota l window area
% of tloor area
Building contractor
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5,4.tt.ri196 Ch h•C-
Plumbing contractor
License number
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1, hone
f S.� /35 B. -�g-'a,
License number
Phone
Mailing address'
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1110 (' e
ailing address
City, state, zip cilco n.L
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City, state, zip
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Heating ntractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state.zip
PROJECT CONTACT
(2. r76 ero '
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675