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1984, 06-01 Permit App: 00000459 DuplexBUILDING 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) (m) Department lJ�e Only �p,,,(first) Fbs. ) Oa I Comm 2Project Address (not Mailing Address) a Roe a Space Zip `� 3°7 3D9?�a1� 99.Z0.=2 3 CI mmu ty St SuI i. /Plat =me fleck 3 / 4 ' ' 4 Parcel No. / ` y4- 4j l 2C ; ` J - Lot ` // Block 6 ( * �r it DEPARTMENT USE ONLY * * * 5 Sic Code Zone Act. 0 Zone 2� Project No. ���� 6 Dwell a No. of Buildings Sq. Ft./Acre Depth Frontage 7 Set Back -Front (L S-1 f -Z-C-)\ (R)S-2 t 4B Rear t Qmsus Tract Module No. I tis \ ' 16 Architect Firm Name Street Address Zip City State Phone ( ) Contact Person Phone If different than above ( ) tractor Fi Mme r Street Address toot /Dso 3 15 q9 ci be 2{,/,� ,1/ l a Zip t 1a2c) G City , / . , el..44-k_ State `UJB Phone ( )9 '1'-'71.34/3 Y23—(14 Z Contact Person ?�A License No. 3-�/c`�KLt,UC ICON Phone If different than above Phone ) 8 Owner/Agent^(if different than N1 above) ^ %c / b 1 ora r/ i-l.�i� A J 4Pi/a Li O Business Address 9 Zip City State Phone (Saes) "(2.0 -(A k,C. 12 Review Required Plan Check /N) �5 Other (YIN) Yes SEPA Exempt (Y/N) Date 15 Type Work [Bldg 0 Fire ❑ MH 0 Demo 0 Add/Alter ❑ Replace 0 Move 0 Other 14 Describe 10 ApplaGm��� ����� _ „ c���i� ` C//� Street Address 11 Zip City%//J State Phone ( 1 Lender Street Address Zip City State Phone ( ) Contact Person Phone if different than above ( ) Additional Information 0,Q� 14s! M.F 41gUtt7 Ito f 5764 G 14-ri_ 2 •Sgt 6!A -k_ Itts$` u Ft7 41-5 12?i z 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 ❑ ommercial; I' Residential W. 1101 College �' New Construction; ❑ Bldg alteration/addition Room 200 ❑ Additional structure; tr APPLICATION # a ( v�o 9 Conditions/Comments. dff2-6-,-ftter Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage; N. 721 Jefferson 0 Setbacks; 0 lot w/d; 0 lot size; 0 use/zone; ❑ CU, variance, zone change; shoreline; 0 fence; O Other Conditions/Comments• Engineers: 0 Commercial; N. 811 Jefferson 0 drainage ❑ road improvements Conditions/Comments sidential; new access/approach; O Flood Plain; O fence; y Utilities: N. 811 Jefferson Conditions/Comments Other: Plan Exam Fire Prev. Conditions/Comments• Project Representative Agencies Performing Special inspection: 1 Telephone 3 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for hold Release Release w/cond 1 Hold 2 ( aScco Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage; N. 721 Jefferson 0 Setbacks; 0 lot w/d; 0 lot size; 0 use/zone; ❑ CU, variance, zone change; shoreline; 0 fence; O Other Conditions/Comments• Engineers: 0 Commercial; N. 811 Jefferson 0 drainage ❑ road improvements Conditions/Comments sidential; new access/approach; O Flood Plain; O fence; y Utilities: N. 811 Jefferson Conditions/Comments Other: Plan Exam Fire Prev. Conditions/Comments• Project Representative Agencies Performing Special inspection: 1 Telephone 3 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for hold 13o' 751 IL 50' s.T Mrs. Flora Madden Prop address: N. 307 & 309 Herald DUPLEX Legal: The east 120.63 feet of the south half of lot 1, Block 6 Opport- unity Plat No. 3, according to plat recorded in Volume YS" of Plate, page 15, County of Spokane, State of Washington, EXCEPT the East 5 feet thereof for Herald Road right of way. r Contractors: HECKLUND & WOLLIN - E. 10503 15th Spokane, Wash 99206 924-4343 483-4442 TbMdlt ?1%...14.60S• irs0 .% INIe 4jF." OAC ASrf V -393Y SD/L 3 c © Vsi M444t. 4 sevt4 C *..4. • .3- CAn 6AK4 E" 30' -l--- i 3 L ti e 55' Stt- l3%e lc Co nc, D tt' ' ( a 1 _ . I r r-, - . — 2G' r4