Loading...
HomeMy WebLinkAboutSprague E 7902 CDS Inc - Sign , n . • ~ (THIS IS NOT A PERMIT) BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND COMPLETE iN INK (Please return this original and your buildlng plans to the Department flf 8uilding and Safety) SHADED AREAS ARE FOR DEPARTMENTAL USE ~ ` Pro}ect Number ! ~ 0Mr11M's NotN LAST F 1 RST M 1 ANPROW pNlz-v (At3•4) CD Iiy c. vrq.a Aadra. c8trM Nam. a Nunw.r> z+p 0 7- C S~'~~I Ct/,E ~4 vr. ~7pc:, 1~i4N~' wA . 4'9z r 3 . Apoliimt Aaa►eu SGW Sr I14rV(c,4T01? N2 31o~FA/V Cl-r E,e. `x" state zip 4 9.2-/ ~ Phorm 9 ~ S 35~ yi~ / euanna ) QDntractor//1pmt Addresa ~ ~/yt F,484 cy4J~! tc.,~u i ~iYOi C~i4To~ ,f~l ~ 3 io ,~-.4 Nc>>y~ cit,, Po P<4 SLt. ~ Z,p 4 9 z~ r , ~ /9- oDntw Lianse Number (Required) 6uajness Phone (,!~091 L5-3-5- te/ a/ AI+ChibCt / Eqineer Addreas M Clty Sute Zip Phone ( 1 r contmi Business Phone Addreas t dtp State Zip Phone ( 1 ~4'`~'• CA fl-1-11 v.~► ~ v _ `L=l~;. }A i ly ~f ~r~ +~..a.u~ , in-' ~ s . ~7F.~"'t IYt1. ISt10(~ t ~ 4 J*^''.~~!'~+~9€z~. c. • t~~~.',~i~s'`~~ f~. . . t Bf r~ 1. C.. ~►w. F\ Y► w * ~ ~~r :~r. - y s ~ : r : ~ ' , . . . ~ . ti >/!'!"'~r'tr i"`S: !T N" . ~"+"w ~-~'~'~'t~!1 _ ~r. . , ~ . . F^--r►'. OC~ '~~^~'i. i,IF1,y~ ' .P1it~ t~rt1 b ..~.1~ ~~7n~~11► r~;':\. ~a.•~ T;'"~,~, sr ~ V4,7.',t. ; i~ :ri . i ~ 4~~f 6 ~ j~ ~ : ~ .r,T. . . n ~ •y , v v . _ . i f' +`~T'~ ` . - ~ ~~'"i• ~ ~~.•;1.= A •~~~.~r~~_~~.~ ~~~~j~~ ~ . rt~►.; ~1~.. : .3~~~4:~~~~•~~`' i i~.l,:y~•1:~~ A ~~~.TAi~ ~l~r~ °"°a t_ 5 ~r =~LL LY ;•~1.• ~F' • ...5-. ~.;«t ~0'+~'.:~1 i ~h, ~~..Fa. ~;~jfi-l -~.SY"~ ~ ~~/.i~ . '.~':'•`#[a.wJ-: rs_iiiL~.. ._.7:..~{r1►s~......:+aw~i+.:/:~tt/l~I~'~ 7N L~~{ .t'.. - F//~ pJ }I'~ 84~j L ~M~.~ l ~ 7 ,s ~F~: t J 7 ~'s 5.:.."~- '~'.',~:+~~i~ • ♦ ~~a~ '7` T .a'► • .i.~`r`~ ~s- • ~~`''~~3i~, ~1►•~ ~1--~'- e'~ ~_t=M~ Xv.7 ! " . . . . . 1W.~ wl ~.4i~ ~iC~i ~ ' - j~~•'• ~ , '•i1,~,~~,,. ~ \ n 4` ~ 4 ` ~M~~~~•Q r a. ~'r~a.. `~~s` a ~ ~i ~ - ~ ~ - • -,t' ~,ir ~i ~ ~ .'~~`F;r '-+~T, ! . ♦ Jir J~, ~.a Y'. ;:.A1 >t ' Lr~. ~ ~ _«y ~ 1 . .t •Lt~ •~;S'y~+~iwn+ti .~.`l . ~ - r , .-t~~> - ~c-. ^ - ~"T-.i• ~ ~t - T ~=•i2tt.- C ~R 'y'T' ~ mft V'~i~t~.' • r~~; :.t" 7-''~'*~~ * •~ty•: ~ Jt ~ _ lM ~t k• _ t ,-F_ ~ +t ~ - . j?~M~~w}+~ ~-..b:i~,'C_O:I'. ir • 1J..~ 't J: , ~F„~- i '!l - . ~r~~~+C;~. ~ ~~~!L'~.ir!c 7s~ y-•~~=. w.. . 1F'} t~ ~i i +s. - '°1~.♦ ' i .~J x~ 1k~'J~~' . ~ ~ i i X~~~~~~+3^~~• ~1 - - .E ~ ~ ~ :ISLM f 1S• ~ • ~ - +~v...~ti• a ~j ~2y. ~Ao1' , P`~;~ st . E lallrS~~.~ ~O _ ~ _ ~ i~ • ~4 ~ d`~• r=a r ~ - s . i t~~.l V~_ ..~L'~~ L;f. •'.~~~wd~k~'" ` . ` -"i , ~ : ~ ~ .M • i ' - A6 - •.s,~,~, ~ik~1~ ` -'.r :4~< J rJ'.,t 1j- r . ~ ~.~-c . Z, i3-~ ? ~~5► "i ft . Q ~ ~ ~ 1.a~`a~l~~-~l~?•K''.~y~,` t.~P'~~~' .~.~._'~`?'1"~~t~~~ si► s : ~ ~ ~ ~y;:~ . ~ ,'A•t~ ,Y r .;~,y1~ Y!-~~~~4. ; Q ~~M'~ Y~ ~ F ~a`~~ ~ 'I ~ ~ '~.S".~C~x+ •~,~.ye~~~wn•~'.fd4~,.ti tijj~ ~~-"},~.r,ar ,t~~, :J ~~r P~~ew..*~ - s ~ r~-r ' . - . _ ■ d Bedr . po 1 ~ - .r ? t . t. .s ~ ~ S YS ~ ~ ' ~ ♦ r l . . . DEPARTMENTAL REVIEW Cond. Approved Approval Hoid Envlronmental H"lth Applicatlon N ~ W. 1101 Collepe Room 200 . Planning/Zonlnq ~ N. 721 Jefferson i , ~ ~i % _ i.--L.' ,~~.-C./ ~ ~•C., l / ♦ / Englneen ~ N. 811 Jefterson . ~Kr Utilities ❑ N. 811 Jefferson ' Plan Rwfew/Flre Prwontbn N. 811 Jefferson , . ~ OthK (SEPA/Critkal Materlal/etr.) ❑ ; I i ❑ Fut Track/Speclai lnspection Infonnatlon t ProJoct Reproeentatfve Phone Addreas . 1 oertify that I have examined thia appllcatlon and state that the Informatlon cantalned In it and aubmitted by me or my aqent to complle sald applicatlon la true and oorrect. Siqnature Date ~ _ aO ti PLA Q U -T S. GD5 ir~G ~ T ~ PKo+OOSi;~ oGAT(oN OF D~SPu~y Cc~KtP~ r. OP ENI tv4 - 0~r t I~ 1 7251 ..~..UE . ~r1~ lTTtr• S. fAc,E. 6/G rv --4508 cvA r-rF (10 1) u Is H(7~LAINJ; I o ii." T'0 8".EN1,15. J.rRS , w~so8 w041rV000 riKIsN oW. # ~IWA 11S ~r o .