Loading...
1985, 07-23 Permit App: 00006491 Garage• a BUILDINGrERMIT APPLICATION WORKSHEET PLEASE, RRINTAN© COMPLETEONLY 7k1QST PARTS OF THE FORM YOU UNDERSTAND &ca8) (Please returnthiskrillnpirindyourbulldIngblanstotheDepartmentofBuildingandSafety) 1 owner's Name ' petal' '' Orel) (M1 ,// /=f/7.e/M/2 / el) moi papa/vent Wpv/ent Ur"( Comm 2 Project Address (not Melling Address) a load Nama i Space 'Zip % 4 gra/a2A e...3432/ — 3 sty/Community yip SJ(2////� //! ‘ State '6)/2 Sutdivlslon/Plat Name 4 Assessor No. 2V53, 3gOG Lot aleck e e • DEPARTMENT USE ONLY * * 5 Made Zone Am. Y ,1 .Zane , i Project No. 6 M 8 avNl II ° No. of Suit In Sq. Ft./Acre Depth Frontage 7 Set Back -Front ll -)S -I li031. Rev "'Conus Tract ' Module No. Initials 18 Architect Flan Nona Street Address Zip sly ,Cyte Phone 1 (ons Person Phone If different UMn above gntiFirm N + Street Address /� / 9Cio / aryS Q/L//ne P,Ns W/% Phony✓Ve 1 (�/ C�O� %4'// 9571/ 755-219.59 /1098t Phone 11 deferent than tele 1 8 Owner/Agent Of different than ) r anti see Address S Zip City State Phone 12 Review Required Plan Chock (YIN) Other IYIN) I SEPA Exempt (YIN) Date 15 Type Work 'X 0 &dg 'Fire- 0 •MN 0 Demo X New 0 Add/Alter ❑ Replace 0 Move ❑ Other 14 DDe%rr f5rk P,r1 eo e (242,1) 57th * ,p / /fQS LlName LiEac // R Street � / //R.�.�J /22 , ,Ga — 1, Zip q©o % CID sp0#/7 , . Stgte 642 Phone !So9)•/a00.Q., Lender „ Street Address Zip City State Phone 1 1 Contact Person 1 Phone 11 different than above 1 1 Additional Information DEPARTMENT APPROVALS - n i nis is not a Permit• ❑ Application Type (Standard unless otherwise Indicated) Fast Track (Indicated approvals required In either "release"or "release with conditions" space prior to permit Issuance.) ❑ Early Start Release Release w/cond 1 HoId 2 0 Environmental Health ❑ Commercial; 0 Residential w. 1101 College 0 New Construction; 0 Bldg alteratlan/addition 200 ❑ Additional structure;Wl _,Qv,Room It APPLICATION # r / 9 U Conditions/Comments. 0 N. 721 Jeffersong: 0 0 Setbacks;cial; 0 l❑ Cert; of Exemption;Frontage; lot size; 0❑use/zone; ❑ CU, variance, zone change; shoreline; ❑ fence; ❑ Other Conditions / Comments D Engineers: ❑ Commercial; 0 Residential; 0 Flood Plain; N. 811 Jefferson 0 drainage 0 new access/approach; ❑ fence; ❑ road Improvements Conditions/Comments: D Utilities: N. 611 Jefferson Conditions / Comments' 0 Other: ❑ Plan Exam Fire Prev. Conditions / Comments' Project Representative Telephone 0 Agencies Performing Special Inspection: E o 2. 3. 1 Intlleals above or attach co ons relative to final as built approval 2 Indkate above or attach reasons for hold akila STRUCTURES STEEL BUILDINGS N. 3666 Market Spokane, WA 99207 1-609484-2002 Bs Bldg. must be 5" from property line Bldg. must be 10' from drain field Bldg. must be 25' from property line if property line is next to a street Bidg. oust be 10' from all existing bldg!. NOMEOWNEH+ ADDRESS z e 9 3 2/ 70 . PARCEL # LEGAL: L,.eLLa hi/IPHA* NORTH (Road) ateed1 /0 m' /0 24' _t3 says (Road) h "w Aes 1. Draw in all existing buildings. 2. Draw in new bldg. & how many feet it is from existing bldgs. and property lines. 3. Name all roads next to property. 4. ,Draw in drain field and whether you are on a septic tank or swage system. 5. Sire of property.