1984, 05-25 Permit App: 00000221 Relocate Duplexr
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)
TOMBARI William Anthony
Otyartment Only
F.
Comm
2 Project Address (not Mailing Address) v Road Name Space Zip
8908 E. Main Avenue 99206
3 City/Community
Spokane -
State
WA'
Subdivision/Plat Name
Hutchinson's Resurvey Block 26
4 Assessor Parcel No.
18544-1943-5
LotE.72.3'
of lots 12,
Block 26 •
13 & 14
* + * DEPARTMENT USE ONLY * * *
5 Sic Code .
Zone Act. M
Zone
Project No.
„l'1
6 Owed e -
No. of Buildings
Sq Ft./Acre Depth .
Frontage
7 Set Back -Fr; 0 I (I_ 1
(�
(R)S-2Rear
Il
l esus Tract IModule No.
Init(als_0
J �lrYll
16 Architect Firm Name Street Address
PFI N4407 Division Street
Zip
99205
Clty _
Spokane
Slate
WA
Phone
(509 ) 489-3200
Contact Person _
Dan Altimore
Phone If different than above
( )
. Contractor Firm Name -
Street Address -.
Zip
City
Slate
Phone
l 1
Contact Person .
License No.
Phone if different than above •
( )
8 Owner/Agent (if different than et above)
TOMBARI, William A.
Bust ess Address
2720 E: Sinto
9 Zip -
99202
City
Spokane
State
WA
Phone
1509) 534-1444
12 Review Required
Plan Check (YIN)
Other (YIN) ISEPA Exempt (VI N)
Date
15 Type Work 0 Bldg
- 0 Fire
0 MH
0 Demo
0 New
0 Add/Alter
0 Replace
ti Move
❑ Other
14 Describe Work
Relocation of a duplex .
10 Applicant Name
Street Address
11 Zip
City
State
Phone
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone If different than above
( )
Additional I of ormat'on
0/3 l',d vv U 5.9k -c,
si2c/tPet IASPF-Dribi PIM@
0
4,A..11z1`I9v.-a82V X176.12:
Application Type
(Standard unless
otherwise indicated)
Fast Track
/Early Start
4
DEPARTMENT APPROVALS
This is nota Permit
(Indicated approvals required In either "release" or "release with conditions"
space prior to permit Issuance.)
Environmental Health ❑ C mercial; Residential
W. 1101 College New Construction; 0 Bldg alteration/addition
Room 200 0 Additional structure;
APPLICATION 0 f7tu-n�'� }-�St-A £ Si
Conditions/Comments' 1:172,
•
Release
Release
w/cond 1
Hold 2
SDI!
z
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'
O CU, variance, zone change; shoreline; 0 fence;
❑ Other
Conditions/Comments
Engineers: 0 Commercial; esidential; 0 Flood Plain;
N. 811 Jefferson 0 drainage new access/approach; 0 fence;:
O road improvements
Conditions /Comments:
Utilities:
N. 811 Jefferson
Conditions/Comments:
Other:
Plan Exam
Fire Prev.
Conditions/Comments
c
73—
ci.
cod
c
o
co 70E
y
LL
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1 Indicate above or attach conditions relative to final as bullt approval
2 Indicate above or attach reasons for hold
! 8. ' C `� C EfLTMM DISTRICT
Al aV r.
N0
%
G2
3
k
��i000
0
C.0,
0
eo.; n-Ei e p.
0