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1984, 06-06 Permit App: 00000534 Garage
BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND (Please return this original and your building plans to the Department of Building and Safety) 1 Owner's Name (last) (/first) (m) trot oC /� y 70,J MRIZ / R. Deparin�ertt'�lse Only Ra°. p/ Comm 2 Project Address (not Mailing Address) or Road Name - Space Zip Al. /4.11 7/07C 3 City/Community ANE State WA.f//. S�upolvIsi /Plat Name H,!!'c�:K s.A s / : #4l AssmrsoP�pae�r�e(}K�. 4 ` V v/—I i. — os�. 1 /,► Lot 4 Block • + DEPARTMENT USE ONLY * * * 5 Sic Cade Zone Act. M Zone ((��t //}},, rW•/ Project No. 6 Dwell it I No. of Buildings 'Z Sq. Ft./Acre Depth 17-25 Frontage s r75 7 Set Back -Front 3I (L5-1 1 (RI�-22 IRearr 4_`� Census Tract Module No. Initials 16 Architect Firm Name I Street Address Zip City State Phone Contact Person Phone If different than above 1 1 Contractor Firm Name /� La1�44,k sWe( 7/ s `9t.e.%ral aurt Tire, Street Address /u./oI'F Lek. . Zip Gty drills. SPoKArNE State GaRtoV Phone S09, Sys -.f//S Contact Person AWE opt /11ARsweec Co.1N=4« License No. Co -CK -Re' *2 0 RCN Phone If different than above ( ) 8 Owner/Agent (if different than $1 above) Business Address 9 Zip City State Phone 1 1 12 Review Required Plan Check (V/N) Other (YIN) ISEPA Exempt (YIN) Date 15 Type Work Bldg 0 Flre 0 MH 0 Demo ,"few 0 Add/Alter 0 Replace 0 Move 0 Other 1< Describe Work 2 cam. 99 a//rij ee ALJ C L. / /ny �p ze10rkam(#ed Y�J kw, a .?: se. Street. aIs' tJrt Ji. NPhonat 11 qfa/1 TW Dtspa Jt/4«r y State STS" - ner Lender Street Address Zip City State Phone I , Contact Person Phone If different than above ( ) Additional Information Application Type (Standard unless otherwise indicated) Fast Track Early Start DEPARTMENT APPROVALS This is nota Permit (Indicated approvals required In either "release" or "release with conditions" space prior to permit issuance.) W. 1101 College Room 200 Conditions/Comments. ❑ Commercial; ❑ New Construction; 'dditional structure; ❑ Residential 0 Bldg alteration/addition APPLICATION # • Release Environmental Healthe25g Release w/cond 1 Hold 2 Planning/Zoning: ❑:Commercial; 0 Cert. of Exemption; 0 Frontage; N. 721 Jefferson 0 Setbacks; 0 lot wld; 0 lot size; 0 use/zone; O CU, variance, zone change; shoreline; 0 .fence; O Other Conditions/Comments' Engineers: 0 Commercial; 0 Residential; Cl Flood Plain; N. 811 Jefferson 0 drainage 0 new access/approach; 0 fence; O road improvements Conditions/Comments' f Utilities: N. 811 Jefferson Conditions 1Comments: Other: Plan Exam Fire Prev. Conditions/Comments Protect Representative Telephone Agencies Performing Special Inspection: 1 2. 3. 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for hold M'H.RK STEEL BUILDINGS© BY COCKRILL CONST. INC. N. 1014 LAKE RD. SPOKANE. WASH. 99212 °Witty //A gel o ckke- N. Pile Re.sc;e n4-5671 (509) 535-5115 N. /422 Rass4L "Why have Just a building, when you could have a LANDMARK"ri