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Sprague E 11707 Retail Store ~ (fHIS IS NOT A PERMIT) PVAIA 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 bullding plana to the Department o( Building and Safety) SHADED AREAS ARE FOR DEPARTMENTAL USE Owner's Name ~ IAST FI RST M I r I Pnojsc! sss (Stresl e & Number) Zip ~ 1-7 0 7 F - SPe" u_E Aov+k.nt ` Aeereas • ' ~ 5 z( s-No 6S7 ruu~ Gty State Zip phcne 0~ 2T_6,2 g 7 Bu3irmw Ptmm oornraaor/nQenf Addres, • ~ CitY Stste Zip phone ' ( ) Co^tad Lkense Number (Required) Busfne33 Phone ,i ( ) ~ ArdWted/Enpinesr ~ /►ddress cib ~ State ~ Zip Prione Contad 8usiness Pfane ~ i ) Lader Address ' ~ Clty State Zip phone ~ • c f . ~so'crftvvoirk M r--,e c.-. si► ~ $fpft plgt ~j befs~ ^ti~ ,s, - ~ ~ z. ,~;y', •'v~ }'~~~/7~~ A~Mf~Of Paro9l,Nufll~f , _ ~7,~i ~JF:C.•~.-. , ~t ~,j i:. _ . ~ r ' P.- ...-~'~'~At.`- r rr . M • •yT~r+jii!~~ . . , . _ . . •~.,,.tr'l~ l 2 ~ V yg~y .t. ~T- 4i3 ± ~'(d~'f ~ a . .!4 :t.''1:'r'".-i ~ ..~w~e~M", Pirt'f1M1~ - ~4 ►~i . . t ~ d `;"4~_ ~1~'~' . . - _ ' 'h'~~ `a" it - _ , . ~ , rr?: , < ~ 4.` T-th . ' . : ~r• ':~t' h~ i _ . . . .Z~ • ~ _ . . _ . t Nuffke.r a owMiino unia ; . rju~NWrber a 1441din4s;+- ~ - . ~ t~i_•Fl..lacro ° Dep , F►oncaoe ~~t ti r :ty... . F,R~~',~'~it~ ~ ~+~~"~i _ ~ir ,~d Y - • ~r" - - ~ ,R. . a1 . , r . ~s's,fM. i ~ ! ~ lipQ ~ ,•..r'~~'~ ;R- 8Mb~k'~4.s _ _;c i'~'s~ . . ' - . ~ R..~ ~d ..~.c~ 3ambNdsvie tt. •rs 4' ~.~r~ fR, ~ ir Y;,. f' Y=--,i.. . y " ~ . ' -t r _ .i'• . _ " . .A . e+ , 1~V' r~~r ~F- 'l..~~ . ~ . ~ i~ - •4 .f i~. ~-.=i -a.- ':f~:- . . ri.ri. . r , . • . •~~y~. ~1~0~111~~Ofl +~\LeP'fl'~~g"`~s-.,~. ~t~f.~.~.~ r ,b};i~1~,+ `~f Sq _ ~x e~ ~ ,:tCf. E~:~yrrr =~'t .'k 'i. 1~ 1`.. ~s~• y/~j, 'V' 1,~ _ =`1~ ~`-+5~3 , ~~l~•^~'~~i~ ' ~~`~~~f ~~1 . - f= S~'~F' • - , ti`n," _ r~ ~ . . ~r - ^i.J. ~~y~• - ~ ~ ~lf1~ ~l~:,{w . . ' PL ~ • ' ~ w-:~M~ . . ~ .'/'1~ ~2ati'1•~( ~d'. r 4~ ~ ^ '1Pti~l~41eC~~ ~ i,. : . ~ , . ' ~ , y ~ ~ , A•. p. ~+Ss ' .,►„~n' r~-:. ~ 77 _ : ~ k! r' _ "qSy`f►. , . .7 ~'YG~e+S.i 7~f~'a~ . _ J r~. - "S.r., ~'~~7'1?~ ~ `~~~?s! . e4 •I . `,~;`t,'S". k,~ ,ti~~ ~l•~ ' 44~a,~i4a:'~S~ ti.' ~~Y'. .mr~. ~ V~ , ' • . t . ~ j . _ r ' _ . . ~ `y ~ ~ '~av S .r ~ ,~w..~R _ ` '&.r'.+✓~ ? . 1. • - _ . ',a, . ^i ~ . .~t ••~!t ~ _ , ~ Y'~ ` ' ~ • . ~ r~ ' ..fi~i~lr~ r~~~: . `1~ - ' r~Cw ~~J ♦S.." . vl.yr~ ~ i ~ ~ ! 1 ~ < . , _ • ' `.1~1a , . ~ i . . a•1~ - ^ R y . . ~ . ,yp . ,~.wy. ~ . ~ •'jL. ~ w . st-~c,~ Y.~` ~^y . .r,~`~i~~ _ q_' . ♦ r~-l. ~i ~ I._+~~rF:~sTiL~V1_ . ~i~"T{ =a~ i',~}'. o~- . "7 .~j: ~N'~: . . ,+~Th~~ ~ s~,'- . _ .~.l,r~ +Ji. ~~~~-~y,~ti.: ` ry~~ Qt .r•' - . 1 - - iY~:,~n• _ _ . ' ~ ' . ~ y~`: ~s~. ,.~^,w ~--J - ~ ' ~ • - ~ 4 - s . ~Y✓~1~~ : ( i~ . . . +t+'. ~ . .r'~ ~-ti .~~Sr. 'S.~L ~~'r,.,~ .:ti . - .r•~N ~ Y ~ r . . ' . k ,.~''~i F' ;~~''~.r` ''t+~.C,', '~'Xii'~`4- i ~c~ 7~ _ :..f ~ , N , f•t ti~r~ F? ~f~'~yG.~..~a . ' ~ s ~`~~,_~t ' % - 5 • A~ r• .r ~n~.,~iL~lv.y~~_ -r7'~a~ _~I~p TOCI1flkli~t` „ ' Dlldt~.., . ~s. , _ :,.~:~5 . ' y ~~c~= _i.. ~sr,:..-- -.a.~-: . y,4• e~`J ~ \ 1~ rry~,, _ .c~-S, ~~qrr~'^~. ~ ~r73~~~-;fi `~'"'i~, .u i _ _ ,'r',. I a ' DEPARTMENTAL REVIEW Cond. Approved Approval Hold Environmentil Hsaith Appllcatlon N ' W. 1101 College Room 200 ~ Plannlnq/Zoning N. 721 Jefferson Ir-1'- ti. Engineers N. 811 Jefferson ~f 4-% Utillties N. 811 Jefferson Plan Rsvlsw/ Fire Preventlon 11 S~ ~ N. 811 Jefferson 1; 7i~, ° RI4skD oN PL1lN U&aa, r)►?IJE R v mAIZ-rY 90QLNSOq Othsr (SEPA/Crltical Matsrial/stc.) ❑ ~ 0 Fast TracklSQsclal Inspsctlon Informatlon ProJect Representatlve 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 appllcation ia true and correct. ~ Signature Date