1986, 11-13 Permit: 00014078 Garage mirourrausemssmovimoustatt
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SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS PROJECT#
"=P. °' DATE:
3 I... 2:.).N.i.., AV '.. 561:32 11/13/., 000- ;78
S/ PHYLLIS J i,. :DING .::°
E 2ND,' =, .',
LE WA 837
^"='"^"`'
.`. aLIER / CORP
,ONTRACTOR'
CAVALIER CORPORATION
ADDRESS:
RT t BOX 226
"'`-' "`' `'"'
'rAD WA 99021
"="="E*'
j870 CAVALC*158JF
ARCH/ENGINEER:
^"""E""'
"'``' ~" `'"'
!
'^^== ""°"""`"' INSPECTOR:
'5410911 U99900
.`°~. LOT& BLOCK FINAL
00019000 � ` ` 011
~^`"~°=
. '. .WEP SUB
`"~"*. ZONE FEB "'` "'" RSB MOD
ACRI 0o�
13 ATTACHED GARAGE(24X24) FEES: ,^.,,,. CA = = NC
"°" "- '=~.-.
$64 . 50
'=^"~"="' "~~^~~^ ^' PLANS ~~~'
5323 E 2ND AV i eir^
STRUCTURAL
Building Code Fee TOTAL FEE $1 . 50 ,
TOTAL FEE $63 , 00 BUILDING '
Valuation : Corr 3456
Permit Fee 63 . 00
# of Floors 01 # of Bedrooms 000 # of Rooms 000
PRIMARY STRUCTURE :
Desc : GARAGE Group : 11-1 Type : VN
Sq-Ft 576 Occupancy Load Rate 6 . 00
SECONDARY STRUCTURES :
'. . :,-.!..!s !:,.i".. � � � M E N T S ----_--------------- I»spRef Dat �
- - - - ------ --- * Type
5_FOOT SETBACK_REQUIRED_FROM_EAST PROPERTY_LINE__~____-_-- --- CE 11/13/86
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(THIS IS NOTA PERMIT) CO'r' j
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Project Number 7 4
Owner's Name LAST FIRST MI
Project Address(Street Name&Number) Zip
) 5 3.2 3 0 p 1,\, 1)21-&c a I e. ck)it 4' c?O 3-7
Applicantri Address
Oq ` (Q 0 O VO � 3) P. L(
City State Zip�-y Phone
Q k V1i*— Pick 14 ( aq ) c1C G, 17
Business Phone
( )
Cont,ctor/Agent a { Address
City St3te Zip Phone
( )
Contact License Number(Required) Business Phone
( 1
Architect/Engineer Address
City State Zip Phone
( )
Contact Business Phone
( )
Lender Address
City State I Zip Phone
( )
DescrIb$. nu , 'i , <` . Res. Comm.
, 01 i, ,, of A-a 4c_+k E O (-.4-24)(24- V"
Subdivision/Plat Name/Short Plat Number
Of;
i w Lot Block Plat Number
/l 5 1
. Zone Comp.Plan Census Tract
ttumberofDwellingtjnits Number of Buildings Lot Size(Sq.Ft./Acre) Depth 1 Frontage 4
rontSetback 4¢,, Left Setback Right Setback Rear Setback_ R/W Width
,P}dditiotaU4fotmnation Square Footage „s'"
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y
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4 ' ':''' ; '' '114—
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1 - - m Number of Bedrooms
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DEPARTMENTAL REVIEW
Approved Cond. Hold
Approval
i -
Environmental Health Application# 6-1.6�.
❑ W.1101 College
Room 200
f
Planning/Zoning
❑ N.721 Jefferson
Engineers
❑ N.811 Jefferson
Utilities
❑ N.811 Jefferson
Plan Review/Fire Prevention
❑ N.811 Jefferson
Other(SEPA/CrItical Material/etc.)
❑ y
❑ Fast Track/Special Inspection information
1
Project 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 cor lie said application is true and correct.
(.17 -
Signature B Date //6/ 4
1
Show on Site Plan: Additional Information:
Lot Dimensions Landscaping I
Existing Structures Drainage Plan + ! 1
Proposed Improvements Hydrants " 1 .
Structure Setbacks Topography 1
Easements Lighting - I — ( —" -- —i
Septic System(s) Signage E _ 1 _
Water Lines Shorelines I ( j
Sewer Lines Highwater Mark - _-T — 1 — 1- — —T
Fences,Wells ( 1
Driveway(s) I j I
Right of Way Width(s) —_ . �__ -- I i--
Names of i_ i_ ; - 1 1 l
Fronting Street i i
Flanking Street _,_ —}
Legal Description I 7 E
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Date:
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Revisions: Attachments: i I I }} 11.- I I j
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