1985, 05-17 Permit App: 00005489 ShopSIGNATURF. OF
(WINER OR AGENT
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505 N BANNEN RD
CHARLES L MILLER
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505 N BANNEN RD
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SPOKANE WA 99206-0000
ABLE CON ST OF SPOKANE
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ABLE CONSTRUCTION CO.
M~" E HEROY AV
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SPOKANE WA 99216-0000
PW LICEN"E*'
509-924-8936 ABLECCS165JR
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VERADALE HEIGHT!: 02ND
�Es:
$68.00
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210000 SHOP
505 N BANNEN RD
STRUCTURE
APPLICATION
DATE
SEG. #:
0005857
DATE'
05/17/85
"°"*:
00005489
Structure Fee $68.00
�Es:
$68.00
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DATE:
05/17/85
PERMIT
STRUCTURE
Description N PRI CAR WF Group M-1 Type VN
Square feet 000720 Occupancy Load 0000
Est Pin Chk $0.00 Actual Pin Chk $0,00 Var
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TOTAL FEES
$0.00
$68.00
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OFFICE COPY
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name (last) /-� (first) (m)
Mlt (_ 2 l -,4f2L S
Department Use,Only
F9s. tom Comm
2 Project Address (not Mailing Address) or Road Name Space Zip
5t N. --;a:. Pa N N C •`, 2 P •cea
3 City /Community
State
Subdivision /Plat Name
4 6aAOr+Ce i5 '-'`"0 400
4 Assessor Parcel No.
�( -
/(J -/ - (%7 0
Lot Block
- * * * DEPARTMENT USE ONLY * * *
Z
/��
5 Sic Code
Zone Act. #
Zone � Project No. � �C 1
/
6 Dwell #
No. of Buildinngss
Sq. Ft. /Acre
Depth , - k
Frontage ,
7 Set Back -Front
I (L)S -1
(R)S -2
Rear
Census Tract
1 Module No.
Init• Is /
16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Contractor Firm Name
"A... 3 (f Cis rvSTR_ kc-T (c> ti CEO . St-471< -mUe
Street Address
1- ■ bit 6' . f-E2+5--/
Zip
�
` q",-Lc•
City
State
Phone
( ) '<( C:1
Contact Person
License No.
4413t..--ECe 5 t 65.1 f2-
Phone if different than
( )
8 Owner /Agent (if different than #1 above) 3 /2-41g5.
Business Address
9 Zip
City
State
Phone
(
12 Review Required
Plan Check (Y /N)
Other (Y /N)
SEPA Exempt (Y /N)
Date
15 Type Work Bldg
❑ Fire
❑ MH
❑ Demo
P.,'/New
❑ Add /Alter
❑ Replace
❑ Move
❑ Other
14 Describe Work
�be Z1-)c 3a �Z��
10 Applicant Name
(`(7 )JT(L PtC <o /2--
Street Address
11 Zip
City
State
Phone
( )
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional lnformation
4 (9S< 0 �
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is not a Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
❑ New Construction;
J� Additional structure;
APPLICATION # / -Cr g
❑ Residential
❑ Bldg alteration /addition
Release
Release Frond 1 Hold 2
liP-
Conditions /Comments•
Planning /Zoning: ❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage;
N. 721 Jefferson ❑ Setbacks; ❑ lot w /d; ❑ lot size; ❑ use /zone;
❑ CU, variance, zone change; shoreline; ❑ fence;
❑ Other
Conditions /Comments•
Engineers: ❑ Commercial; ❑ Residential;
N. 811 Jefferson ❑ drainage ❑ new access /approach;
❑ road improvements
Conditions /Comments•
❑ Flood Plain;
❑ fence;
Utilities:
N. 811 Jefferson
Conditions /Comments•
Other:
Plan Exam
Fire Prev.
Conditions /Comments•
Project Representative Telephone
Agencies Performing Special Inspection:
1
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
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