Argonne N 101 Cedar Tree Plaza Install Pole Sign
(THfS iS N4TA PERMIT)
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BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PAINT ANQ COMPI.ETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE fN INK
(Piease return this original and your building plans to the Department of Building and Safety)
SHADED AREAS AAE FOR DEPARTMENTAL USE ~ p,rowNun+bm ~
qwner'a Name LA5T FIFiST MI
ASSOCIATES
P►aject A+Wreas tStree! Nam 8 NumOer) ZjQ
101 NORTN AR30NNE ROAO
Appltcant Addrow
Gity State 2tp Phnne
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8usrness Rhone
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Cantractor( Agent Addrom
8Al.0UliN S1GN5 & O15PWYSt INC. NORTH 3502 MARKET
C,ty state zip Phone
SPOKANE WA 99207 l 1 489-r9191
Confmct Lrcertse mter (Revwrad) Buslrtess Pfwrte
Yn ANNA LINOU I ST BA~. O60~1J ~ t
arAi uEngineer Adtfresa
City State 21p ~e
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I.cnaer Addms
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Awmw Percel Number I.at 8lock Piat NumOer
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99~84C ~ COMM6R4tAL ~ - , _
NumQe►of O"ling 1Jnlts NttrttbWat Buitdings ~ Lot Sln aq. F1f Aete) I Oepth Fcar~t~s J ,
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OEPARTMENTAL REVIEW
Approved A pCond r~,al HQId
Envlronmsntal Heaith Applicatton M -
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❑ w 1101 college
Room 200
Planning/Zonlrig
❑ N 721 Jefierson _
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Englneers _ Il'1 z- 5.
❑ N 811 Jef ferson .
unuties .
~ ❑ , N 811 Jefferson ~ - -
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Plan Revlew/Fire PrevenNon
❑ N 811 Jettoraon
Oiher (SEPA/Crltlcal Meterlel/eto.)
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~ Feat Treck/Speeiel Inspecllon intormetlon
Rrolect Representetive Phone
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AdCresa
1 certify that 1 have exemlned this appllcation and~state that the informatlon contained in it and submitted
by me or my agent to compfle saiif application is true and coh-edt
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(fHIS lS NOTA PERMFIT)
~ BUILDING PERMIT APPLICATIUN WORKSHEET
~
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNOERSTAND
COMPLETE IN INK
(Please return thia original and your buitding plans to the Department of Building and Satety)
SHADED AREAS ARE FOp DEPARTMENTAL USE ~ pMiOct Numbr ~
Owrw S ~d LqgT FIFiBT MI
CEOAR TREE PIAZA
Proleat Address f5trest Name S Number) ziC
101 NORTH ARGONNE Roao 99206
Applieam AWresa
City 5tate Zip PhaRe ,
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Lan1ractori Agent Addrese
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BALDY+IIN SION'S ar OISPlAY9? jNC. NORTH 3502 MARKET STREET ~
Coly State TJp PRa+e ~
489-+9191 +
SPCKANE WASH 99207
Cantact U um (aequired) Busrness Ptwne
D tANaa L INOU I ST ~ 5--0602-RLJ
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acr►~tec~ ~ Eny,~reer AWresa ~
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DEPARTMENTAL REVfEW
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' Cond .
Approved Approvat Hold
Envlronmentel Healfh Applicatlon N
❑ W 1101 Collage
Roam 200 - - ~ - PlannlnA/Zonlrtg
❑N 721 Jefterson
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Engirtesrs
❑ N 811 Jeiferson
Uitllltes
❑ N 811 Jefferson - ~ Pten Revlew/Flre Prevenlton '
❑ N 811 Jetfersan
Olher (SEPA/Cdtfcai Meterial/eto.) ❑
Fasf Troek/Speelal inspectton Intormetfon
Pro)ect Repreaentative Phone,
Addre9s
1 certlly that I hSVe examined thls, applicatlon And atate that the tnformatlon, contained,in lt and 9ubmitted
by me or my agent to compile seid applicatton is true and correct
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