SPRAGUE E 6325 CAPITOL TIRE SYSTEMS SIGN
(THIS IS NOT A PERMIT) ~
BUILDING PERMiT APPLICATlON WORKSHEET
PLEASE PRINT AND COMPLFTE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of 8uilding and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE ~
ProJect Number _
Owner's Neme LAST FIRST MI
CAPITOL TIRE SYSTEMS
ProJect Address (Street Name & Number) Zip
EAST 6325 SPRAOUE AVENUE
Applicant Address
City State Zip Phone
( 1
Business Phone
( )
Cor►tractorlAgent Addresa
BALOWIN SIGNS & DISPI.AYSp INC, NORTH 3502 PqARKET STREET
Gty State Zip Phone
SPOKANE WA k920~ 48949191
Contact Ucense Number (Re uired "8us(ness Phone
D I ANAlA L I NGiU I ST BA-LD-WJ-1603 ~ ( )
ArchitectlEngineer Address
_ I
~
; City State ' \ 1 Zip ~r►e
, Contaci Business Phone
Lender Address
City ~ State Zip Phone
. / f 1
Degcrlbe'Nark • - . Res. Comm. •
I NSTALLAT I ON OF MI CHEI. IW POLE StANAGE - ' `
SubdiofsionlPiat NamelShQrt Plat Number ~
Assessor Parcel Number Lot _ Block Plat Number
13533-2501 1 & 2 29 . '
Pertfnent Flle Numbers Zone Gomp. Plan Census Tract _
. ' Ri - "
Number of Dwetling Units Number of 8uildings . Lot Stze (Sq. Ft.lAcre) Depih F•ontage ,
Frunt Setbx4c Lett Setback Right Setback Rear Setbacic ' RI W Width -
AddiUonaf Infarmattun Square Faotage . EAS7 $POKANE ADDITIONj KOOMlS $UBDIVISIDN OF B29 & 30
LOTS 1 dc 20 BI.OCK 29 EXCEPT HIGHWAY z '
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tD Number of Bedrooms
Building Technlclan Qate . - t Group Type -
~ . _ . '
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DEPARTMENTAL REVIEW
Approved Cond. Approval Hold
Envlronmentel Health Application 11
❑ W 1101 Coliege
Room 200
Planning/Zoning
❑ N 721 Jefferson
Englneers
❑ N. 811 Jefferson .
Utilities
❑ N 811 Jefferson
_ . . . ,
Plan Revlew/Fire Preventlon
~ N 811 Jefferson
Other (SEPA/Critical Materlalletc.)
❑
~ Fast TreckJSpeclal Inspectlon Intormatfon
ProJect Representative Phone
Address
i certify that I have examined this appiication and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
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Signature~ Date ) I C)
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REVISIONS DUALITE, INC. • WlLLIAMSBURG, ONIO
N0. CHANGE D A T E
_ PREPARED fOR
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~ M 0 D E L y~,~~ ~iy/G''h~~'~/~Cl ``~~y ~.L~E~~E•~ f'~iCJ~G ~s.°i°.
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~ S C A L E TOLERANCE
i D A T E
D R A W N B Y
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; S H E E T N0. ORAWING N0.
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