Mullan N 201 Horizon Federal Credit Union - Pole Sign ( 1985)
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6UILDING PERMIT APPLiCATION WORKSHEET
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PLEASE PRINT ANO COMPLETE 4NLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLk'TE IN INK
(Piease return this original and ycur butlding plans to the Department at 8uilding and Safety)
SHADED AREAS ARE FOA OrEPARTMENTAL USE prolect NumDer '
Owrter 9 NBms U►ST FIRST MI
Horizon Federal Credit Vnion
Profecl ACQres! (glreet Name 8 Numoer) zot Mu Lvf'e1 v 2'p
9-9-2-"
ApAlicant I40d►ess
Heath Northwest, Inc. E. 411 Sprague
City State 2iR Phone
Spokane, WA. 99202 609 )455-6666
eusiness Phane
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Con1rHC1Ar/Agenl Address
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Cm+tac! Ucense Number (Repuire0) 8usiness phone
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DEPARTMENTAL REVIEW
~
Approved Approval Hold Cond I
Envlronmentel HeaNh Permit Number
❑ IW! 1101 College
4
-Roam 200
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Plennlng/Zonln9
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~ N 721 Jef ferson
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Permit Number
Engineers
~ N 811 Jefferson taP
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Ulllities ~
❑ N 811 Jeffersori - ~
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Plen Revlew/Flre P►evention
❑ N 811 Jefterson
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Other (SEPA/Crlllcsl Materlel/etc )
❑ ~
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Fast TracklSpeclel Inspection Intormetlon
Pmject Representative Phone
'Address
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I certify Ihat I have eza ~ined fhis,applicalion and,state that the iMormatlon contained in it and submitted
by me or my agent is t~ e co►recl. legal. and binding
Owner's Sjsnat r Oate
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