1985, 10-18 Permit App: 00008210 Pole SignBUILDING PERMIT APPLICATION WORKSHEET 6-6)
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)
1cns Name ' a ,. / t t (first) frn) Cepartrnent Use Only
((last)
nit z,e/ co - _ett,(5/)29 I.. Comm
2 Project Add not Mailing Address) cr Road Name Space Zip
gulloo SL 125' MOre..
3 •' ...WmplunIty
ireme,
Sate
Ng
Subdivision/ Plat Name
690frie.MigY
4 Assessor Parcel No.
/16-42— 1 Lt al
Lot
4-1-
Block
0+1
. . . DEPARTMENT USE ONLY * * *
5 Sic Code
tone Acta
Zone
ivtivn -
Project No.
.0- 0,...2. ., 1 fi
, /- I L.,
8 Cwe41 X
No.411 Buildings
So Ft /Acre
Depth
Frontage
7 Set Back -Front ..
«.5-1
(8)S-2
Rear
Census Tract
Module No.
Initials
JON tY) .
i OatarbolAthierti-Ciii 1 Street Address . „
Q):)Ari2chiteqn Nwe
::/D16-17iyazti-O
Zip
W243
city
State fr7/47
Phon(e_v ) 469_40
.,..fieed/ne.)
477617,404a7 'X�%'(
Phone If different than above
)
vn auaPA u2-
Contractor Firo2Na9m1Z,r
StreeteAddree(oddizhb
Zip
g9
Cty
ib
ant
StaWg
5ss
Phon
Od7-)
4917/66P42
Perpnitucen,e
8de/4/KW anian ik
No.
geeon-726g- •
Phone If different than above
( )
8 Owner/Agbit (If different than al above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
Plan Check (Y / N)
Other (Y/N)
SEPA Exempt (Y/N)
I
Date
15 Type Work 0 Bidg,
0 Fire
0 MH
0 Demo0
0 New
Add/Alter
0 Replace
0 Move
PriDliaPkokvie..
12' X2-St640.5yetaxe ie et_ pek he,414-- /31
Applica Weyer( /
Street A
Address
Ed Msa /5 Iidizige
„ Zip
20Z.2
City
fit
t t
s Pra e #
Pho
a( --Oe ) 49-494
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
r•
Phone if different than above
( 1
Additional Information cs-yode p
/OW* 4
m
c
m
m
m
U
A
H
toL.L
DEPARTMENT APPROVALS
1 Indicate above or attach conditions relative to final as built approval
2 indicate above or attach reasons for hold
4
This is nota Permit
Application Type
(Standard unless
otherwise indicated)
(Indicated approvals required In either "release" or "release with conditions"
space prior to permit issuance.)
•
•
Fast Track
Early Start
Release
Release
w/cond 1
Hold 2
Environmental Health ❑ Commercial; ❑ Residential
W. 1101 College 0 New Construction; ❑ Bldg alteration/addition
Room 200 0 Additional structure;
APPLICATION #
Conditions/Comments-
onditions/Comments-
Planning/Zoning:
Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage;
N. 721 Jefferson 0 Setbacks; 0 lot w/d; ❑lot size; ❑ uselzone;
r04Sf
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
Conditions/Com ments•
"ret 5€4,5,44 i r rar0 -6-irra P
•
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain;
N. 811 Jefferson 0 drainage 0 new access/approach; 0 fence;
/040i
❑ road improvements Q/
Conditions/Comments• flip/ Mat %O E.uco.a4<-4 /4/740 & „ry 9 cJ
hie /24,-J
•
Utilities:
N. 811 Jefferson
Conditions/ Comments
El
Other:
•
Plan Exam
/o/(;'
0
Fire Prev.
Conditions/ Comments-
❑
Project Representative Telephone
0
Agencies Performing Special Inspection:
1
.'5
E
0
2
c
3
1 Indicate above or attach conditions relative to final as built approval
2 indicate above or attach reasons for hold
4
St. No.
Location
Legal
City
mullon a 12550 0 9iapeA
/%G 14 Date /M-8.5
Owner
Pini Saba/
w awnete/od Traffic
Address P6 -)&x PA558
Location Class
+oigl htic vv- 25
,-{-er, i -T 145'
1,
Ci5e05
4
Parcel #17543-1431
Part of Lots 4 and 5 lying North of the North line of the Spokane,
Quer d'Alene, and Palouse Railway right of way in Tract 141 of
OPPORTUNITY, EXCEPT the North 99.06 feet of said Lot 4 and EXCEPT
;that portion within the Mullin Road right of way, according to plat
recorded in Volume "K" of Plats, page 20; situate in the Qunty of
Spokane, State of Washington.