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1985, 10-17 Permit App: 00008227 Garageer ' v.'%% " pp (THIS IS NOTA PERMIT) etoOre r 4416'605/0 BUILDING PERMIT APPLICATION WORKSHEET 1456 " j6 75- PLEASE S 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) JmfuCu MPICHJ MIIC run uCrMn 1 MCP! 1 ML UDC rProlect Number 8 ?7.--) Owner's Name LAST FIRST MI' MiN/er ig 60S Project Address (Street Name & Number . Zip E MavnTAt Pie it, R D- nO2 7 Applicant El 5/5- Bob Minier • Address E./3 o3 MoL�hti/4 ✓ - ./Ret City State SPok4n e utr. Zip 9102 7 Phone ( ) Business Phone ( 99) 9,2r-5499/ Contractor/Agent ffii /197r Cans e c n of7 Address PO 86? /7po6 City 514kA%e. State ti.�si.i.. Zip 9'92/y Phone is -09) 72F6/s- Contact / 4ncc License Number (Required) EA4/DCC/S?07 Business Phone (5S0i) ?2$/65'`/5 Architect/Engineer Address City State Zip Phone Contact Business Phone• ( )• Lender Address City State Zip Phone Describe Work, r i5` y 30 )/,b 4tt.C4frf &4r,v,e Res. / Comm. Subdivision/ Plat Name/Short Plat Number ever view t»wh; e Ffoime W8 417z See. 7 T2t- R4451— e Assessor Parcel Number 075-57-o3or Lot C Block / Plat Number AC72 Set 77-2r/C Pertinent File Numbers . Zone -1 / Comp. Plan Census Tract Number of Dwelling Units r Number of Buildings I - Lot Size (Sq. Ft./Acre) Depth Frontage Front Setback Left Setback Right Setback Rear Setback R/W Width Additional Information 1 BUILDING INFORMATION Square Footage Number of Bedrooms Building Technician 6fltu Date /0-/1-S5 Group 1-t-/ Type VN *5- DEPARTMENTAL REVIEW F I certify that I have examined this application and state that the information contained in it and submitted by me or my ag to compile said application is true and correct. Signature/ �/I/irJ.,114 Date /V) 7/1.c. Approved pp A roy Hold Environmental Health Application # ( '.0roval TO-(:-.,-grit Lb 2 ' ^. � / �; l/- W. 1101 College Room 200 Planning/Zoning N. 721 Jefferson I Engineers N. 811 Jefferson Utilities N. 811 Jefferson / Plan Review/Fire Prevention N. 811 Jefferson 7)ilb?r. Other (SEPA/Critical Materlal/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 ag to compile said application is true and correct. Signature/ �/I/irJ.,114 Date /V) 7/1.c. .ie 1 1 1111111.1111M Innila ° -T SA�� --4....,-N - --•- II _ i ■ jr 9 1 de 1 r?cp tory II frio-Ety ....i is .r-_ :•1:. ■■■■ ■ nuiuiiiiai __- IIItakrelC�A. ■ �� celNom.. e.r.... .... rt Aa., • djS34.-o3os 2 .. .=► a� 1111. .. ■.■ g, K v, sou 06'4 Ato-, ■■ iMIEM .. ■ ■ ■ R tic) 5e 7 -r.'2s a yr....�. fi3,0' G6(/ pore/ ve ■■ ,b,£ 111 PI ■. ■.■ 1111Ali o,e�so , el+re 1.r.re r ,. ow D, sr — ,�/r~r,<, - P i— MTA- V1 I I