1985, 07-24 Permit App: 00006525 Deck(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)
Jm#IJtU MFIt/J MFit I-UFN UtYMFI 1 MtIN 1 ML UJC
I Project Number 4,5 �1 %
VJ ��•J
Owner's Name LAST FIRST MI
6uec_ek1er 3crowte, a"
Project Address (Street Name & Number) Zip
N. aas )3 esfi Road Si,oka , WA 91-a16
Applicant
(3 € 4-F z 15 P c -L \ e_tr
d e
1
N I a a- ,5 13 e- s i- R o CLC)
City
5P0k��e
State
wA
Zip
99aib
Phone
(,O9) cfa6-0Lf7f
Business Phone
Contractor/Agent
Address
City
State
Zip
Phone .
( )
Contact
License Number (Required)
Business Phone
)
Architect/Engineer
Address
City
State
Zip
Phone
1
Contact
Business Phone
( )
Lender
Address
City
State
I Zip
Phone
( 1
Describe Worky
co ee.-q%d.tc..k I G 6y ) 9 J
Res. /�
Comm.
Subdivision/ lat Name/Short � `Pla�t Number kit) TIERA Z4#ettr- kDD
Assessor Parcel Number
P/st/3 — 2505
Lot
5
Block
Plat Number
Pertinent File Numbers
Zan
AGSUe
Comp. Plan
Census Tract
Number of Dwelling Units
Number of Buildings
Lot Size (Sq. Ft./Acre)
Depth
Frontage
Front Setback
Left Setback
Right Setback
Rear Setback
Additional Information
1 DEPARTMENT USE l
Square Footage
00/0
Building Technician
Date
9-Piret5
Group
e 3
Type
Y^
WV