HomeMy WebLinkAbout1986, 04-30 Permit App: 00010789 Residence(THIS'iu NOTA PERMIT)
BUILDING PEF%MIT 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)
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Project Number
Owner's Name LAST FIRST MI
D & B Building, Inc.
Project Address (Street Name & Number) Zip
- S . 1308 Ner R.d .. " ` ...:. _ Verad ai a alas hknrton
Applicant
Same -as -above
Address
12118 E. 1st Ave.. Unit A
City
Spokane
State
WAshinrt.nn
Zip
992M
Phone
( ) 926-0755
Business Phone
( ) same
Contractor/Agent
Same as above
Address
City
State
Zip
Phone
1 1
Contact
Bobbie Swanson
License Number (Required)
DB—BU—I-24313
Business Phone
( ) 926-0755
Architect/Engineer
Address
City
State
Zip
Phone
Contact
Business Phone
( )
Lender
Address
City
State
Zip
Phone
Describe Work
Single family residential — new construction/ attached garage
Res.
X
Comm.
Subdivision/Plat Name/Short Plat Number
Sy's Sub
Assessor Parcel Number
,23 Sntit — 34A °V
Lot
4
Block
1
Plat Number
Pertinent File Numbers
Zone
Comp. Plan
Census Tract
Number of Dwelling Units
1
Number of Buildings
1
Lot Size (Sq. Ft./Acre)
11,798 sq.'
Depth
131.09
Frontage
90'
Front Setback
30'
Left Setback
24'
Right Setback
24'
Rear Setbac
511'
R/W Width
Additional Information
IBUILDING INFORMATION
Square Footage
D54 MR
3 4.2.5 D
443 2W
425 Gar.
I (e/59
Number of Bedrooms
3
Building Technician
Date p
Group
Type
DEPARTMENTAL REVIEW
Approved
Cond.
Approval
Hold
Environmental Health Application # '-�)O/ 6, ` 0S-7
Room 1101College /;!�',� Y / it N"4ttt III /1//„
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Planning/Zoning
❑ N. 721 Jefferson
Engineers
❑ N. 811 Jefferson
-x`72 Q 171
Utilities
❑ N. 811 Jefferson
Plan Review/Fire Prevention
❑ N. 811 Jefferson
-(-s10
/P(o
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Pro)ect 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
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