1986, 04-09 Permit App: 00011261 Residence (THIS ISANOTA ` 110
BUILDING PERMI PPLICATIONPERMIT)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 j J
I Project Number / ` 1
Owner's Na,,,.....-.2LAST FIRST MI z__ 1
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Project Address(Street Name&Number) Zip
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Applicant y / J Address
City /' State I Zip Phone
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Business Phone
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Contractor) J / Address
City State Zip Phone
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Contact License Number(Required) Business Phone
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Architect/Engineer Address
City State Zip Phone
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Contact Business Phone
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Lender Address n�
City State i Zip Phone
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DescribeWoric - Res., Comm. a
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$ / atlame/Short Plat Number (t
parcel Number Lot Block Plat Number
Inent File Numbers Zone
Comp.Plan Census Tract
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Dwelling Units Number of Buildings Lot Size(Sq.Ft./Acre) Depth , Frontage�j
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bade` left Setback Right Setbac� t Rear Setback R/W Width
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Ilona,information Square f Dotage
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4 st Number of Bedrooms
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DEPARTMENTAL REVIEW
Approved Hold
Approval
Environmental Health Application# O v °38/ 5
JAN W.1101 College zAl
Room 200
Planning/Zoning
❑ N.721 Jefferson
Engineers �/
Z N.811 Jefferson � `'`' / /9
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Utilities
❑ N.811 Jefferson
Plan Review/Fire Prevention Lf_i/ �
❑ N.811 Jefferson
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 — .- Date
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Department of Building & Safety
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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 c )mplied 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