1986, 04-09 Permit App: 00011272 Residence { (THIS IS NOTA PERMIT) 1 �� /
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this-riginal and your building plans to the Department of Building and Safety) 2�2
SHADED AREAS ARE FOR DEPARTMENTAL USE
Project Number
Owner's Name LAST FIRST Nil
Project Address(Street Name 8"Number) Zip
Applicant Address
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City r State Zip Phone
Business Phone
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Contractor/Ag n ! Address
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City State Zip Phone
Contact License (Required) Business Phone
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Number )
Architect/Engin eer Address
211 S 7
City State Zip Phone
Contact Business Phone
Lender Address
City State Zip Phone
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Describe Work Res. Comm.
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/Short Plat Number
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Ass Parcel Number.
Lot Block Plat Number
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Pertinent File Numbers, Zone Comp.Plan Census Tract
NuRl1 Of Dwelling Units Number of Buildings Lot Size(Sq.Ft./Acre) Depth t Frontage t
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� etback Left Setback Right Setback j Rear Setback R/W Width
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Mditional Information Square Footage
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DEPARTMENTAL REVIEW
Approved Cond. Hold
Approval
AEnvironmental Health Application# 76' D3?P
W.1101 College
Room 200
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MINFAU
Planning/Zoning
❑ N.721 Jefferson
Engineers /3
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Utilities
❑ N.811 Jefferson
Plan Review/Fire Prevention Li-4�-
❑ N.811 Jefferson PC.A
Other(SEPA/Critical Material/etc.)
[] Fast Track/Special Inspection Information
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 compile said application is true and correct.
Signature - ; 1 Date 7
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Spokane County
Department of Building & Safety
s,riii7' ritAi, 41.
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JAMES L.MANSON,DIRECTOR
June 17 , 1986
MICHAEL MANOS
E . 14324 4TH Avenue
Spokane, Washington 99216
Re : Building Permit Approved
Dear Mr . Manos :
This is to advise you that your building permit applications for E .
14409 and E . 14407 6th Avenue have been approved and your permits are
ready to be picked up at our office .
It is required that this permit be issued to you and for the approved
plans to be on the job site prior to commencing construction and for
the duration of the job. These approved plans will indicate
required corrections to be complied with during the construction
process .
We have been unable to contact you by telephone and would appreciate
your picking up these documents at your earliest convenience at the
above address between 8: 00 a .m. and 4 : 00 p .m . , weekdays .
Sincerely ,
DEPARTMENT OF BUILDING AND SAFETY
Jeffrey E . Forry
Senior Building Technician
JEF :mas
NORTH 811 JEFFERSON • SPOKANE,WASHINGTON 99260.0050 • TELEPHONE(509)456-3675