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