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Sprague E 12909 Restaurant Addition ~ (fHf S IS NOT A PERMIT) . BUILDtNG PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE 4NLY THQSE PARTS OF THE FORM YOD UNDERSTANp COMPLETE IN INK (Please r4turn thia oriqinal and your bullding plana to the Oepartment of Building and Safety) SHADED AREAS ARE FQR DEPAfiTMENTAL USE -0 1 Pr*ot NUmeW Ownar's Name LAST FIRST MI c Plqootf T ~~W S, . . PrVect /►ddress (Str«t NarrN 8 NumOa) ~ Lp L~~~~~- G'v► ~1~ ~ ~ 2 Appl iant Addrop ~ CA h State ZiP Phone • Business Phone ( ) . Cant►aCta//►pent ' Addrees Gty . State ZiP Phone i ) Liwn u f 1 8usinesa Phone t ) Arcn~t~ct r Ei~qine~r q~►~ Ctty State Zip Phone S r t soq ► ? y 7 - Qo c«~tacc 6usinaes Phone L~« ~,r~ GtY • Zlp Pfwne ( 1 O~Mr~NbA[ ~.a.-- - S. a.> 4. e t:~ • • ~ } : . . .t ~ ' ~ ~ ` . ~ ~ *..~kl~~Sr -~~at:.' MI~' w ~yRi`..~ . ; ~ N ~1 ~ ~ _ ~ • ir~ ~ • - r . ~ ~ . . . . ' . A •}r~ -}~T } 1 ~ ` 1 1 .I~: • ~ ln ~ 4 V.'# 4 A ~Y"~'~^~T~F.i~ *iN.Ci t~ti"'~ b•.#ic i.i1 "~1 4.} • .~..a'. - L. J i~'~" . _ ~ -►~^s-, .D!„y~~"t~*"..."~[+~~ ~.t..•T,` ~ ;wi::t... `~^~7~wY~'-f pill wM 1 ~ ~A~ • n n _ ~ ~~~f T` V yy 'y, _ ~ _ _ ' , ' x ` ~ ~ ~ ~ ~ ~ _ =f, ,k~h~~ . ~ v ~ ^x r • _ . .~~.`~,~i"- ~i~ i' A~ ~ _ . ay=;r _ +ii;~ • ~ . n ~ac -A T ~ }~s~. ~ti ' -i ~ . ~ _c~'..'A' j s" Y' ..j.' ' j F ~ .i,'-.. ~l ~i'.~Ctt''+' .~1 ~ ~ ~+',L'-~,~i M } '~•~~v . • + - i: a - f • V~ ~9 . . e T ~ - ~r/' t +a. L~. . ~ . ~ /.s: - - 1 ~ ~ . ~.~~r~' _,4 . ~ ~ . 3. 't ,r . - 4 • . . . S;. .~:a ~ •'"T 4 a ',j ~ _ . ` • ~'~,~~~a."'~i.r.~ ` :.,{j~,~~.~~,~~ - ._°f,;~,,. R- ` • - a:.• ,u 'f ~ ~'/J'~ ~~s'~~ : _ ' ~M,. r~,q, ~ ~,..,t - !MI ~MDdc ~ ;r~~.e AIW~ 't' ..1 '.f-~ . . iK~.h.Y~SC '-'yc.~itP_.tS!y I:~ . .~c;:~l ftx_1L !1 ~9'(r -~'~-.yr-#~a ~~i.~ ~-~~,,+-i~,~.-~~.~.~' ' ' ~ VlM?5+~~'~k.tw+`7Rw+_ t~!~ ,sr•:~~d/°Gt+~.^y~ , " 1S +.t.'- ~ ` ~ ei~. ~ -r ~ 5-~~5{ ~i4~ ~ 'Ip' 1a+~'~*`l~Y.,►=~~,~. ~I~tii i ..5."~'d` > . ~ r4~-~•y ~~:~~~"Y-.w~ .~ysP!#~ ~,.:tr ,yt` v.s.~~' ~y. - i A - mlO sE `~irq~. . ~.f ~,~['r w~. ~t~ c ti. ~ p . -.r. 'r-~ - - f r riw. , ..t: ~ S. - ! ^ ~ . ' Y ~ ; • n .71 f 4 ~.~,.y~, v: t.t'.~ Fr.G - _ .t ,...r++ .R ~ ~ r~■ ' t ' • 1~' ` ; ~ 3 t`~, `'t' L~~,Y '~k^'l.! ;ty~'njr~~Y ~ ~r '.~4.. ~ ' ' t,al~"%,v~~~~i..~ iuLvFe~.:. 'l~e'Y"y~O~1:, tir_~_~~ .~r,w..T ~ ~`y,: r...t~~.4'~..$, ~r~~. :!i `IK, .v~.^~...~r~~ .v. . .~Si .'!"y . - . ~l.r . ~ :.:^"S.. '.).►-Ji.. ..~r~ _ e. .a• ~i r~ ~rr_',s- ~ x t7 'r . ~ `V ir'Y ~ . - • r I ~il~-t F "~1Ye,.of~~~ ~i~- ~1J1~ ~~~1~ ~ ~ ~ r~ ~ ~ ~ ; ~ ~}:tae1 ~ ~.7i'f; ;0 i .t'~l'Or~~~ ~ ~ ' y' ~ ~ ~ : O r ~ i~ . . . . . , - . - I T... _ -~-'s. .lr~-~ ~e~ .`.t . f' • . . - Y ~ . , . . . - ' . ~ . . ~ a N/idw d Amdv m1a ,~7 ~~X~: i . ~~ti~~ti 3-~ • •.~,+~~~~y7K v,~ ~~,irJF'~ . ~L~b "i., .t .t~?r. 2 z : , ~ . ' . • ' .Z~'2".} . ~'~`~4 ; L-y`- + Y'~ • ~ ' a~ - r ~ R ~ ~~~~.Qa v ~ ` a~, Y~~j~jw* r~ ~ DEPARTMENTAL REVIEW Cond. Approved ~ Approval Hold ~ Enrlronmontal Hoalth Appfication M W. 1101 Collefle ~ Room 200 i 1 ~ / i ~ Plannlnq/Zoninq N. 721 Jefferson .197 ~ ~s~ ~ • -e~-^-~.., ~ -~..f~ ~ . ~ Enginsers ~ N. 811 Jefferson Utilitfes ❑ N. 811 Jefferson . Plan Rsvlew/Flr• Preventlon . • ~ N. 811 Jefferson Other (SEPA/Crlflcal Material/elc.) ❑ . . ~ Faet Track/Speclal Inspectlon Intormatlon Pro)ect Repreaentative Phone Address . I certify that I have examined ihla application and state that the information contained in it and submitted by me or my agent to compile aaid appllcation is true and correct. Signatur~ ~ Date