1986, 03-06 Permit App: 00009929 Garage •
(THIS IS NOT A 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)
SHADED AREAS ARE FOR DEPARTMENTAL USE f,,,, ' ,p k4,, g.
Owner's Name LAST FIRST MI
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Project Address(Street Name&Number) Zip
Eii os l�or-t-(and eve, f� o � G� Yt.L Zip
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Applicant Address
City State Zip Phone ( O1) R 214 -3
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Business Phone
( )
Contractor/Agent Address
City State Zip Phone
( )
Contact License Number(Required) Business Phone
( )
Architect/Engineer Address
City State Zip Phone
( )
Contact Business Phone
( )
Lender Address
City State Zip Phone
( )
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DEPARTMENTAL REVIEW
Cond.
Approved Approv Hold
Environmental Health Application# f '
W. 1101 College
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Planning/Zoning
O N.721 Jefferson
Engineers
O N.811 Jefferson
Utilities
0 N.811 Jefferson
Plan Review/Fire Prevention
❑ N.811 Jefferson
0 Other(SEPA/Critical Material/etc.)
O 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 agent to compile said application is true and correct.
Signature Date
Ron McDonald We Build Garages A N T€3 IN t E F"t-AN 1 ,
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Licensed,Bonded Bar■ia,mop,Oakes r E R R`C SITE ' •
Itisurtsd-Staats No. W Wovi
MY F A C-176.15 To All Stool 0 PARK
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RICH
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MY FAMILY CONTRACTOR \-f- r
�� �+�669 226-3509 �9'L NORTH
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\F Scale: 1w = i,000'
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EUCLID AVENUE
APP..-i'tq`''fi Willard & Julianne RowbergF_________._...._______
E. 12 .05 Portland Avenue
��9 q t Spokane, WA 99216
parcel No. 0353-0203
--- Section 3, Tbwnshi
• p 25 N., lie E.W.11. Lots 3 andto;
Atsci 1 p,. E z of Lot 5, Block 6 of the First and the to;
Addition to ($��yi eyr Acres & s*�
including 20 ft. vac, stp. May. and adj. iA•
sor
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