1986, 08-29 Permit App 00012883 Garage(THIS IS NOTA PERMIT)
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)
Project Number fl3Q5
v
' Owner's Name LAST FIRST MI
Weile-p Edwin 0.
Project Address (Street Name 8. Number) Zip
N., 520 Ella Rd.., 99212
Applicant
Weil erg Edwin 0..
Address
E.. 7216 10 th Ave
City Spokane
State
Zip 99212
Phone ( 509) 926— 5986
Business Phone
( )
Contractor/ Agent
Self
Address
City
State
Zip
Phone
( )
Contact
License Number (Required)
Business Phone
( )
Architect/ Engineer
None
Address
City
State
Zip
Phone
( )
Contact
Business Phone
( )
Lender
None
Address
City
State
I Zip
1
Phone _s
Describe Work
build a garage,., attached to an existing house.
Res,
X
Comm.
Subdivision/Plat Name/Short PJ t Number
APC2.14.4q8 N 4A ?b 1-- r 6i /iUsoJIJ
Assessor Parcel Number
18543-0659
Lot
5
Block
13
Plat Number
Pertinent FileplumbeerrsQ
Zone /� C - -
Comp. Plan
Census Tract
Number of Dwelling Units
!
Number of Buildings
Lot Size (q. Ft./Acre)
06.0
Depth
120'
Frontage
701
Front Setback
Left Setback
Right Setback
Rear Setback
R/W Width
Additional Information
BUILDING INFORMATION I
Square Footage
zit/6 P
-_..-.�. , in,..... 1
Number of Bedrooms
-
DEPAR :-MENTAL REVIEW
Approved
Cond.
Approval
Hold
Environmental Health
W. 1101 College
Room 200
Application #
Planning/Zoning
N. 721 Jefferson
J
*
Engineers
N. 811 Jefferson
Utilities
N. 811 Jefferson
I
Plan Review/Fire Prevention
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.
Sig.oature
Da te
Show on Site Plan:
Additional Information:
Lot Dimensions
Existing Structures
Proposed Improvements
Structure Setbacks
Easements
Septic System (s)
Water Lines
Sewer Lines
Fences, Wells
Driveway(s)
Right of Way Width(s)
Names of
Fronting Street
Flanking Street
Landscaping
Drainage Plan
Hydrants
Topography
Lighting
Signage
Shorelines
Highwater Mark
Lejal Description
1
i
1
.—
Scae:
t Date:
Revisions:
Attachments:.
rKupvhli, 02(8
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