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185, 06-04 Permit App: 00005731 GarageBUILDING 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) 5556 1 Owner's Name (last (m) merit Only l/ /� �/ /first)) 1 1 ./C /fes.( #4 /� `V I Res. eek{ Comm %74.0 2 Project A ress (not Malting Addles) or Road Name 'space Zip /'/7 //9F& ��o/. • 3 Cit mmunity 6�ePr9Qe, Ps S to �c% Su ion/Plat Name ReeN,4c�e--T Pie £J,Sf A 4 Assessor Parcel No.Lot i�� �0 Block * * * DEPARTMENT USE ONLY * * * 5 Sic Code r2oneAct.# Zone / /L-irl/y► Project No. �+�J J {" ✓ / 6 DSI ff it No. of Buildings 2 Sq. Ft./Acre Depth 06 Frontage i32 7 Set Back -Front (L)S-1 (R)S-2 Rear Census Tract Module No. Initials r ir 16 Architect Firm Name Street Address Zip City State Phone Contact Person Phone if different than above ( ) Co o Firm Nam %S',571,4 ' Street Address /2` 6/`�%e?gA Zip 9% 07 City ,o a/2 e-ZJavi---69)/(i-/-c,70.0,. State Phone contact gOnl > ��� 4-5 L No�/ /�� �� T Phone If different than above 8/'Owner/Agent (ififdifferent�than #1 ve) Business Address 9 Zip "�-- City State Phone ( ) 12 Review Required Plan Check (Y/N) Other (Y/ N) 1 SEPA Exempt (YIN) Date 15 Type Work �( Bldg /❑ Fire ❑ MH ❑ Demo New ❑ Add/Alter ❑ Replace 0 Move ❑ Other 14 Descri ork Cched (2)4E'a e f* c.��sl.4�s polle 7tQ c S/foi((eits Street ddress „, /G` 4///a� Ele/S'/10 11 Zip C 99e%263 7pof /9 e, 7 State 7,1)& Phone 6o1/) i-/'� >7 Lender Street Address Zip --� City State Phone ( ) Contact Person Phone if different than above ( ) Additional Information Application Type (Standard unless otherwise indicated) Fast Track Early Start DEPARTMENT APPROVALS This is nota 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; ❑ Additional structure; APPLICATION # ❑ Residential ❑ Bldg alteration/addition Release Release w/cond 1 Hold 2 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; N. 811 Jefferson ❑ drainage ❑ road improvements Conditions/Comments• ❑ Residential; ❑ new access/approach; ❑ Flood Plain; ❑ fence; Utilities: N. 811 Jefferson Conditions/Comments• Other: Information Plan Exam Fire Prev. Conditions/Comments. Project Representative Agencies Performing Special Inspection: 1 Telephone 2 3 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for hold Anal STRUCTURES STEEL BUILDINGS N. 3556 Market Spokane, WA 99207 1-509-484-2002 SES • 1 Bldg. must be 5' from property line Bldg. must be 10' from drain field Bldg. must be 25' from property line if property line is next to a street Bldg. must be 10' from all existing bldgs. eL NORTH HOMEOWNER: 14 ri i?. K Il,,;ai6. K ADDRESS: A' /(D/2. (-Logi' PARCEL # C 17 5 5 j 1 &l'/C. LEGAL: G R.�'Ee'4,€ 5 L) ; s T /l 5- I.32. F -T r w 270, 3 i=1 o u /L ^3y 1` si 2C i)J2CCJ�c� 6Rir_#1 E h &c7 -- SOUTH (Road) 1. Draw in all existing buildings. 2. Draw in new bldg. & how mann feet it is from existing bidgs. and property lines. 3. Name all roads next to property. 4. -Draw in drain field and whether you are on a septic tank or sewage system. 5. Size of property. b c1 0 cn