Loading...
1987, 04-09 Permit App: 87000189 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) 'ON o: CV Project Number ( Owner's Name LAST FIR T MI Krkz r ievNfe E `x'4'2-a(Q Project Address (Street Name & Number} Zip S e 12- 1 1 D I S IN eVi 4 /1� Applicant Address Sp©k4rtrz, i'h. City State Zip Phone ( )X -7--SSSS Business Phone ( ) Contractor/Agent v Stmt � Address P. 0 - 0 2_ g 7 City • o r Wp . Zip 9q O2 -s- Phone ( ) 2 - 3v-b� Contact License Number (Required) Business Phone Architect/ Engineer ti ZA78 7 Address City State Zip Phone ( ) Contact Business Phone ( ) Lender Add ess City State Zip Phone ( Describe Work t t _/\--t“:"-:---1.) �--t# r -i. AIu�C- l ' x -e Res. 1 Comm. Subdivision/Plat Name/Short Plat Number >i ` E 110( E,t,t; illwi Aft' Assessor Parcel Number f ,Lot Block Plat Number Pertinent File Numbers Zonee01 1 Comp. Plan Census Tract Number of Dwelling Units x:: Number of Buildings 2— Lot Size (Sq. Ft./Acre) Depth 5 61 o Frontage 75 Front Setback . Left Setback .. lx �- . ( j rte.. : Right Setback 1 t i 2 Setback RI W W'dth Additional l information BUILDING INFORMATION Square Footage Number of Bedrooms Building 7echnlC[an i 1'' ; f : to I '1 — 7tZ i3 7 Ill GroupType — i M 4 yp� l �' �` 'ON o: CV 7 - DEPARTMENTAL REVIEW 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 applicat on Is true and correct. Signature r Z Date Com' L -67 Approved Approval Cond. Hold Environmental Health Application ft 'Y— 0 J C-1� ? ( W. 1101 College R 200 IIII� ; .f1 .,.., aCQ La (ky, oa-%Q cc: ezi Q` S'CE i..{-'71625 �`Za" Planning/Zoning N. 721 Jefferson ,k' 7 SSP -- UniFtcP'r1bt v / _'__/ i e . 04.--1C lam /fwd A�?s� .1/1 ,/2. i Engineers N. 811 Jefferson Utilities N. 811 Jefferson Plan Review/ Fire Prevention N. 811 Jefferson Other (SEPA/CritIcal Material/etc.) i Fast Track/Special Inspection Information Protect 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 applicat on Is true and correct. Signature r Z Date Com' L -67 I I I I I ; 1 I 1 1 1 1 1 1 ! I 1 I [ 1 ' , - • 1 __ __ _ 1. • t I , i I ' . _ 7 • 4 - 1 , i,; I • 1 1 [ i - 1 : - . • 1 1 ' , 1 • I - ' . • ' , 1 • , I ' I , ' I i ' 1 I i 1-• i , 1 1 , , I , ! • , , I , • I . , . , , . , I , ' , r 1 1 I • 1 i ' • : I i , I • . ! i ,84,--i A 0 1 : • • • • t I I ' 4 I , 1 ' 1- 1 1 I - 1 : . ! 1 -i -- ; 1 _ : ' 1 , , - . . -- . II 1 r I-- -I-- , , t 1 - ,. i 1 . 1 1 E I _j...: ' ! I ' ! ' ' ' , l t I ' • -1 l' , 4 I ! i I ,* [ 1 _ . 1 _ . . I , H. I i ..1 • ; I • F 1 , [ ' I • fr 1 -I t i ! • I r 4 i i • I I f I 1 j I 1 I I t I , 1 ! 2t---' - : • , ; 1 i 1 1 . • ---I, ' -1-1ro.tetiff4 1 -T;t1 'I I I I : 1 ; I r- 1 ; ..-.!• 1 1 . , 1. . .• - i I i • ii • 1 I I, i . I I ; 1 . . h I 11 : 1 1 ; L , ! 1 1 1. 1 • 1 i i , 1 I; , ..___1 _. ...„ ; • .. ! . i . i i • . I I • I I , ' I - , 1 •• I , - I. 1 , --i- 1 , , • 2, 1 , 1 I 1 • 1 • I H • 1 1 I • ! • : 1: I i _,_ ' . • : i '1 , : , 1 1 1 ' • i . :, , 1 , 1 1 • 1 • , : 1 1 , i , , __ __ , , , , .., , ; '. , ., . . : _ .: 1 .: . : , , _ , , 1 1 1 1 I , ; i , • : : ..._I 1 . 1 i , , __, , , • - , , , - ; _ . • , : ,. [