1986, 05-05 Permit App: 00010828 Garage-
(THIS IS NOTA PERMIT) 55,
56
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS Alit -UH UtYAH I M ti' I AL U
,• -
Prolect Number f:
Owner's Name LAST FIRST MI
. /4Ze_ MG�.x q6)o 7
Project Address (Street Name & Number)/� Z'p
A, . L/! G 6J a- 0 e-t/t CO/Ne
Applicant
Address
City
State
Zip
i
Phone
( )
.
Business Phone
( 1
Contractor/Agent .
- /c
ru r' ---C
Address
7
?o 6 e- . spr�C.Q% ‘Ae .3
City
State
-n_i-
.
Zip
Phone �} `' r
Contact �
% i) s
:License Number (Required)
- Pc s [-666.3
Business Phone
( ) .QZ-7-0G SS'
Architect t Engineer
Address
City
State
I Zip
Phone
f I
ContactBusiness
•
Phone
( )
-�
Lender
Address
City
State
Zip
Phone-
r(� ) .
(Describe Work c s res _ 71-... - . •r �,
t 4s ' ~i. : i nom"
W
Comm•, ,, ;{ vim: .
•t
at Namel8heft Plat Numb r ,#r; ?. t , ; , .,�� '< s . ;,tyx r
iSubdiVlsiontPl a : . "; .�-4, �,<- - ,y 's ",7'..4--W474: , :;',a,5• 41,. «,:. ., <'-rte' .;>r,3,
' '.'"i "'at r y�'�•��!• " {'L.rii>.ry .k.. ;•'. 4« � 4y/ `+f3 r!^ rlt(/� /y �.�. //}� ■f�� ,� 'i✓� /. a�•I, : ' 'r; '� � ie..<... -4,:).s-,,. "•'
` J' 'y«3'.'a;lam .`j S;�,•.•
>< S L J �.�+'S+;YS i 6.1 : ,fir, 'l ` • .` *•i'�rr :>.'• i`'' 44 *. .s~- - e'l!-
Asssenact'Par„cel Number t'r °: R t ", ,`,•, .s4 ,.,f., ,' ' a
.(< f,., .. .+fes. Y 1•tiy _ .•
, � �' -.751.i(c 5 \ = ' _ ;�i' .i*,•,:
Lot g' ,r' ''.'•:'
•3 .' l
Block ° ,;. '.; ` a .
f .Y....- *'
; .Y Y .
(Plat Number
fir 1
"Ci`risuiViet
PertinentFile`Nuetieis ,, '-?:5 �." +� 7.4 f•Kq, ,,_
•" . 'r' J �T�`F T;' � to6"�it'i'➢ }r.:-.'
8� •• :G � •.'yRyL�"a.t. N.•, .' •
Zone ° 'y' `,
,. '' r'• � . r • • ' 'i5.
Comp:Plari' _"wWr-;-,ri• ,�
. es • r ..{
.E, w. - '. ter' .
.Numberof,DiueUEnQiliiNa- , fi=x'iNumber'of.Bulldings
"
` `• •"
�"ws.s
=Lot Size ( .Ft./Acre)'.•• .
.��
Depth .;.4-.;---,- •';•r . -
:.• `'t
_
Frona
AkX:r ±
S
.s �v
l
I
1
,s•sr3*.x• a
S.Io
s:x •
Iee
.
.q ..<
Floht Setback" .,
9. `• //s��,�'2
(�' uTy
#}acct t. R..
tett sett<a� NI
f:}r ' 't' sccy x0 ., •S' -- ...'��
Y..,„ ..—i�\"•�}!AFL 'f+!i_t•'an. .. i
:flight ht Setback
9 ;
'M •t•
^ '}`S�'
:Aear.setbacai �,
••.i z„,..,• w,
,c r'+S `� 4Ks•�'.:A
a.-
RAN width:
r.
a-. - ...e .. .��ri-"1"•
-
4
{AddltionaltlnforntaUon ?1.Y v>: ,�:x's/ ; : �,q"�.. ;' t. > �-'�'-- �,,p�yr
-tJr� .'& i#' i Y < '. ii '�8 mak"";: �, . n1 r .',, e s 4Ya
�'-�! fFg-'y' £' .a� Jc "� € . ' •'+�'.,r�:�...•,� '•Vii n fib..•. :45'svY "•if 'S4.
E's. „Ti �r-r" > et<`.»is w�+#x�'.a�-j Ui•'}r 'a! '::`,...1"--`"L. . �'- • '<` -3
r�
S.ir Y
N
ZSQuare Footagee s }p^'7 •. �,3n
.1r.- �'7S !S]/w, r'{s k::11:
::11 Y Ni�,7
a }`/,�VLV 4�-%�'• ., F.':i"1Z..•r.,
+ -1! . ,�. Jy rat�'�' •! a XM�y,3"* ' ;R- ZlGa .• �1 -'• "?. 44:t �'.� `-.41t 6. i x :'4,+>� rn - ,s ' r b' =i -. P # �^ '�}k y
,
'A
�*
es . 'es.•; .: V w F'i`x. is
',l+ ^M ...: i-e:,,"..e-.
;Z..*maS•ox; '; 5•�"W"��.A
`L k•3�f
t"2'�,Vi.,R4 h xi'v;��� •k� t.}'s.`•}tdqW-y '^ - yf Sjr ,.Ji r' w%'Aw.'�s..6: n s' r '!'r
,�Mvi'ma' . 'y -,,,-4. R_.fXfi€,
..., ... . IW:e
UIOil Na* INFORl1Ai4T10
r` y '?ta ' z . y ',
F
3. 'P •1.; i `„ .y
•
•
0.:y'Ci .-. 5 •ty�wxr i' •^" ;-•:::..,,:.
• "`' •> s .ieY .-
:w
x ., -4AM�• ... r" -S Ew�.4r�1F••
.•, :_,..°
Y;'."d�'- t�•j�rt .1 r
oi:.:'" •«r •
y *8 -..' xl ... � { �i .` Y FJ ... s•'4; ,.:,s•.f? 3.,-.-i�• - _ .`.y= r, • ..t. :1.
r, - .. aJ.
••:b : `•4.sl �:7-fY-1 v ':. fi-0 t Y�.j'v. .' .4p - - ` ]F
aya,.'z+o S N�ap .,�'• `�. '�i✓N • �' i .i. � �+ "':,..". :;:' ". �"`• 1 ' .. ,`�� „
•x4„�j ^�"S ;r x. L.• 7; .. Ys'. ,•n'•+ .. 'l':• • •firx , ,i
.7• •� .'t'�r=2
i�'F , •'Alp'
:N.t.>•.�'. .1. k;4i '
,�,*s +�- .. .rs.•t , . '4' ..,f a+.,x �e••-;Cys .. '• ='h "=•�.f • • `;-:z..•!•t ':cw
'; 5,-'+ Cr'+F:•:. M `-'>'-•'�yT'Lt �•s^1�*/s,Py'r-,'-f� `'1 �Y= f •
F CI. V T+IF "'t f(,"•w.'3Sj' �.>t � �.>[ r. y '�[I ,;. ,�•"2w�.J'yy,� . isL '
..9,` iY `}. _ r�Ff4S ` f;.1R`l tl eYw`'�j l.nom._ � 4 • - ',i �.'i�'ir' t`,..•-•-., yt44+ re
11,16";
,
'.
Number of Bedrooms :•X'.r
�gyT� h Y. ••Y6El.'y '«.
Y"�. } 4• � ,4 •,. ♦ .' s '
•Y1 44314r:V• . ,...•.+.igi'v..'. M_
} di T Widen'
` -. ..s.* .•. +�� 4y .•9- 4s-�.
-`•r ,c.:44..I44 ? .
r"a
IDateFV Pfo
••'�'t.e+
'rY ri%�l:V. F£•x .�]�4 - .•nis__`p'.-r <•aw1 ::�r .r2
U1_'
4•ti„:yi.a.":i,^nI'.ai•5-t3 . .
IyY;'
t
•+Grtkip`Sy,'�-1
4 "..•R'_.'••Ai-
'`TM4?•, F"S:
YYPe
I I- •
I , •
I 1 i
_
'
-
1. I '
•
1 I • .
-• 1
1
1
...........
I
--•
t
11....:111 POK--ANt
1
1 1
4
-I-
,
1 i
I
• ..
' I .
ll RES
I I
t
i 1
/ '
—7
.--,-
—.4.
— - -
......
I 1
- i
• •
..L?
- 1 . --r---
.
'7.
E : 11=1.
.
-- , --
, . ,
, .
I t ..... .
, . t
•.•
I ..
--E
1 !
. ,
i I
' I
. :
- !
II
I
.
-
,
.
•
•
i
—
.
1-- .
.4--. 4.___. -.1- ..I.
A....." 1, i -
7-, 14,vt_r„.. e.....---
-
—_7
I
, . 1
,
___..f___1..— --I :..._.—
..
. .
i
-.
•,.
. ,
I !
! - -
,
,
I ' • I 1
,
I 1
I •
...—:./
' i
,
, • !
! ,
•
I 1---
-
i-
•
, I i , . •
- -
...._.....___
.
•.,
-. 1
ii • I ;
'_;:. .' .,,1i„ii
,1•
•
•,
-- .
•
.-t
1.,.. i. . -,.. 1
, ;
,: I
. ,
. .....-z..
:.!,...-....1...kf,.,
, •.-
En...,
/4 rL511/V '
r ,r
; . •
--ir1:1i1
i,ii...I1i!
• .
i
- I I 1 1
.1 1
i
-
.„,t..,..
1 c.s
..,rpi,,1,i11,„
, __1,iI•'1 __
,:..,•,..•.1
-
•;,
•
_- ......
__.
_____. __
-
--
1 L--
.
• , ..
1_. %
_
..__.
_• ._,
..
,„-•:/..•0.,..
..,,.s....-,.,
.1 .4.,_
..„, ./....i.. ,;..,...„ 1
•
. • 1 •
”-
-
I
.
_
---i-
__.,_
1
.,
-1 • •
_._...
I.
1 1
_
•
- •
•t'
' _i___
-I
i c?
i kb L_
: 11 1 ;
1 a ' •
' *II”'
.
!
- .
.- i
1 1
' - t i
AP kfl
-- 0
I 1
,, 1 -I
•
• • ,
i •
- 1
;
•
I
-1
•1
\ v
i NI 't•
0 (i
r-
i
I •
7
':
i i '1 7
1 ,
_
1 • 1
i
1
,
I I :
.y.--.11;it
'
.
,to
• i i.
1—I
j
1 •, 1
IS
.
I •
I 1
lkS
•
410
.
I 1 *
1 '
1 •
.
1
1
1 l•
"—
-r1
1
1tt
• 1
lit#
irowiAdri
dCe-. 1; sz1 ri0
1
--_I
—I-.
4Pe
fir(
1
,
,
i 1
, ___L__
..
• i -
, 1 ! i t.- f
1 !
•
i'
r
• I r---
i i I
1.
.
.
,
i
.
i •
• ,
,
, • I I I
i ! I I
'
_ .
i
. ,
•
. -
•
' • '
r
I.
'.
I
_ --.----I
.
1.
.
I
-
- - -4
I 1 1 1
I
r
1
-,Iii,
__t_
, 1 1
,
—
.
.
1
I V. ,. .
.
,.....„
_ _ ,__.,
• -
_ ___
. .
I
• I i
I
i i :.
. ;
.
.
1,
..
i
I,
1.
- •
I • .
!
I
,. ! •
Th. •. :=. -'""
,,, lo . I
-.. 1,,•;,,,,-1.2-`,..--b A
- . ' ' . '''..A.,Arif.,
r " • ''
: , ..,
5- I.
.
• ,
-
-
f-
,
S. A/
•
I- ' • •••
t ,
• -t.' 7." - . 1-
.... !.. ; I . .
.- ••1 J••••"1 ` I [
. . .. ii
. . ' ! t
• 2. . ..
• 1 4 I
.! ,
. . ,,.... . ...i
t
[
[
V
'
r
•
..., .1
. .
: 1
.....- it.. -
: - -I' I
• t '
. ,
i
. 1 :
--
1
I i
-.
1
, ,___
:
i .
_ :
, .
1 .-
•
-1. i 1
...% j i 1
4 I
• . 1 .!
. 1,4 , i ., 4
' - ! 1 .1 1‘
I
I
I .
, !
E. 7406
SPR
.
4— ,.....,..„. .
GUEj #3 • bPOKANE, WA 99212 a (509)
, , 1
... ... _
927-0655
_ __
, 1
1
1
0
0
DEPARTMENTAL REVIEW
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signature
Date
Approved
Cond.
Approval
Approval
Hold
Environmental Health Application # G
A 6
'
♦
,�
. -
W. 1101 College
Room 200
1
Planning/Zoning
Ni 721 Jefferson -
Engineers
N. 811 Jefferson
Utilities
N. 811 Jefferson
Pian Review/Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signature
Date