1985, 05-09 Permit: 00005092 ResidenceSICj1ATUEtE OF
OWNER OR AGENT
•
8EESs809E MAIN ' AV
HERRON, BILL
8809 E MAIN AV
S.:
SPOKANE WA 99212-0000
ICAN.:
BARNETT CONSTRUCTION
EBARNETT CONSTRUCTION
KESS:
RT 1 BOX 85
ELK WA 99009-0000
LICENEex:
509-292-2336 BARNED*210NU
ARCH/ENGINEER:
ADDRESS:
CITY ST: ZIP:
185441122
0999
0D2544
009 002
FINAL
FIAR R I NGTONS TO I-IUTCH
AGSUB
100
025
000
000
01+0007. RESIDENCE
8809PES5E MAIN AV
STRUCTURE
Description
Square feet
Description
Square feet
Est Pin Chk
APPLICATION i.,y/
DATE
9 i9ds-
sea.
0005681
DA..
e05/09/85
.
00005092
Structure Fee
$281.00
Pee
$28'1.00
X
CONN.E. APP:
%J�/
PLAN
E(!p
.E:
05/09/&
STRUCTURE PERMIT
N DWELL Group R-3 Type VN
000960 Occupancy Load 0000
N DWELLUB Group R-3 Type VN
000960 Occupancy Load 0000
$0.00 Actual. Pin Chk $0,00
05=09-85'
TOTAL FEES $281,00
Var $0,00
2150$ *2810116
OFFICE COPY
a
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) Im)
' N� � r' ,ij a ('/
/� r
Department Only
Rn. Comm
2 r �d res (rot Mailing Address) or Road Name g/ z) Space Zip
/J/'YC/
3 City/Community ru iity rf
IStateffAsh ,
(Iy'^
Subdivision/Plat
Name - 4
4 Meessor parcel ry
' g S 4`-r ^ - I f 7/2 /
(/
Lot
9
I
Block
a
•, ♦ a+ DEPARTMENT USE ONLY a a a
5 Sic Cade •
Zone Act. Il
Zone
�
Project No. 701 :2--
I)
6 Datil 4
6
No. of Buildings
Sq. Ft./Acre
Dept l�o
Frontage I 4
7 Set Bark -Front
1001
IL S4 I
2S
(R)S-2 Rear
— I '
Census Tract
Module No.
Initials
JUN M ,
16/4 I /e t Firm e { n Street Address
S 4/7410n.R M aYc > Ate
Zip GN
ie
Stet
Phone
Contact Person Dp
\--Te-44-n) £4Au e. --C-4"
Phone If different than above
(W%c.2 9. - a. ? 3 C
or Firm Name
i:24. - ' f7` att., //^ ar.. e o.J
Street Address
R7L/ "Coy,�
i
ry
State
Phone
(., Contact Person
11(--; // eA�
License No. DYRQ n, ,. ep 2/0 JV
£#z NC/J"Cr. 1 �7/^ `T
Phone If different than above
' CL-x/LX
8 Owner/Agent (If diff nt than 01 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
Plan Check (YIN)
Other (Y/N) JSEPA Exempt (V/N)
Date
15 Type Work %. Bldg
0 Fire
0 MH
0 Demo
17,e New
0 Add/Alter
❑ Replace
0 Move
0 Other
1/ Describe Work nn -- \\
10 Applicant Name
Street Address
11 Zip _
City
State
Phone
( )
Lender
Street Address
Zip
City
State
Phone
I )
Contact Person
Phone if different than above
Additional InformatiorL
-7C
i<Kfti' G E-( S- `fa 14e-P-EmoU60 .Arty Cet\g bOrit.et fr
>V -:,
J�1� _ °��0 _a
,,� ,
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
Conditions/Comments
❑ Commercial; 0 Residential
,g New Construction; ❑ Bldg alteration /addition'
❑ Additional structure;
APPLICATION #
Release
Release
w/cond 1
Hold 2
ea
Kee
l�
wavdr
Planning/Zoning:
N. 721 Jefferson
Conditions/Comments
❑ Commercial; 0 Cert. of Exemption; 0 Frontage;
❑ Setbacks; 0 lot w/d; 0 lot size; 0 use/zone.
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
Engineers: -
N.811 Jefferson
Conditions/Comma ts.
❑ Commercial;
❑ drainage
.0 roaimprovem= is
❑ Residential;
,a( new access/approach;
•
O Flood Plain;
O fence;
eO 2
Utilities:
N.811 Jefferson
Conditions/Comments'
l
Other:
Plan Ei
Fire Pr
cam
Ely.<f-2
q -S -.i
Kee
Conditions/Com ments•
mJ
ac
s o
c
70
m o
LL -
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
p
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