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Mullan N 524 Mullan Building & Pole Sign
f r ' (THIS IS NOTA PERMIT) ~ 6UILQING PERMIT APPLICAYION WORKSHEET PLEASE PRlNT ANO COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND COMPLETE IN INK (Please return this origirtal and your buflding plans to the Department of 8uilding and Safety) SHAOED AREAS ARE FOR DEPARTMENTAI USE PrvwkU"w ~ . - i Owrw 8 Neme LA8T FIRST MI z Mullan Buildine Pro~eC.~t I►QdrpB lStreet Na,me & Numbwl Zip ~ N. 524 Mullan Rd. 99206 Appltrant AWre9s ~ Mullan Building N. 524 Mullan Rd. ~ ciry smce 21v ' R++one Spokane WA 99206 8ueiness Phane I 1 CantractarfAgent ' Aobreys Tri-State Sign Co., Inc. N. 131 Altamont Gty StBte Zlp pApRe ^ Spokane WA 99202 535-7724 ccmtm Ucmse Numbe/ (Repuircd) 8usiqsss Phorie Orlyn Vieesaa TRISTS*257Q6 sa.me Amhiteci/Englneer qddress ' CilY State ZID Phone , ( 1 Contact 8usirses8 Phorse , L+BnQet 1 qddrgs . i CitY Slete ZfP Phon9 ~ ( 1 Oesaibe Werlc ~ r • ~~4,a l, • ►~.^3~,y , 1~ ,~•J ~ ~ s"' ,~^l~ L r Y 7~~ 41- r ~ ~F'hr~ a-^_+- Et, _s<,~ : Si`t- .hi** -,Sd . ~ 7 ow.r=.[Za, 1 tev • ~!1 ^iYsLBii 'Iy~ '~AI ~ -•7/~P siG~.L • ~N ~ O T ~ S ~ .JZ. J. a ~ a a oc ..r 1 ~ ' ~ t," ' a aa y ~~..L ~ _ - ' ! : C'-f''Stii~ ~ ~ ~ ~s 3r '~>.l ~ .r,y_~ ~~r _ t - ~ .y f y t, _ , t •i ~ ` ~ 1 ' .i ~ > ~.F'i ~ .1rG-~^SL~„r~p'-1J~ • 'li ol ~r~L ~ ~ ` i~n ` ~J ~1... 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Enviranmentai Nealth Appllcatlon N ❑ w. 1101 coue9e Room 200 Planning/Zoning ❑ N 721 JeNerson A Englneere ❑ N 811IJefferson / , ~ . Utllities ❑ N 811 Jefferson ' Pian Revlew/Firs Prevenllon ❑ ~ N 811 Jefferson , , . Otfrer (SEPA/CMtkal Meteriei/eta.) D~, ~ Fast TraelclSpeelel inspeatlon Intormatlon ProJect Representattve Phons Addiess I aartify tAat 1 haGe examtned thia appllcation and state that the iniormatlon contaireed In It and submitted by me or my agent to compfle sald appUcatlon is true and correct / Sfgnature Oate ` ~7 1 1 1 1 . I ~ ' ,1,,,..• i~` - ~i ^ "~..r_~✓' ~ r/ ,i ` ° ° " - ' ~ - ~ ~ , ~ ~ ~ t ~ ! F.~~ --~''..,-►t _i~ ~ r` l"" . ~ .i _ "'r ~ r, - - t ~ ~ °i ` . 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