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TRENT E 6721 SECO SIGNAGE
I . ~ (THIS IS NOT A PERMIT) 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 building plans to the Department of Building and Safety) SHADED AREAS ARE FOR DEPARTMENTAL USE ~ Project Number Ovvner's Name LAST FIRST MI SECO Project Atldress (Street Name U NumDer) Zip 6721 E. Trent, Spokane, WA. 99206 A Dpl;canf Address Neath Northwest E. 411 Sprague Gty State Zip Phone Spokane w'A. 99202 t09 ~ 455-8666 - Business Phone ( l Cantractor 1 Agent Address Gity State Zip Phone { ) Cantact License Number (Required) Business Phone Heath N330RJ Arcnitect! Engineer Address Ci•y Stafe Zip phone i ) Contact Business Phone i ) Lenaer Address C+ty State Zip Phone ( ) Oescrsbs Work Res. Comm. ~ SubdivisicnlPlat NamelShort Plat Number ~<•i Ccr, ~ .P~~ ~ h~ i~ Assessor Parcel Number Lot Block Plat Number 1 7.-5; 4 ro 6lo~ Pertinent File Numbers Zone Comp, Plan Census Tract ' r ~ ✓ \ , ' Number ot Dv+elling Units Numberof Buildings . Lot Size (Sq. Ft./Acre) Depth Frontage Front Setback I Lett Setback Right Setback ~ Rear Setpaclc R! W Width ~ Additional Information Square Footage . ~ / \ Z . ~ J o . cr. / . 0 . 1 U. z ~ Z J M m Number ot Bedrooms Building Technician Date Group Type ~v ~ ~Y) 1 - 1(0U -7 DEPARTMENTAL REVIEW Approved Cond. Approval Hold Env(ronmenfal Health Appiication # ❑ W. 1101 Coilege Room 200 ~ Planning/Zoning ❑ N. 721 Jefferson - t••/I , . . , / ' -.'~i`!'. ~ C ~ % : ~...C L-1_ • d /C ~C r+ , -T ~ • ~•r.c ~ !`l _ - ~7 °l. ~ Engineers L• ~~l , ❑ N. 811 Jefferson -12/7 51.j~~' C.V/, J-7 Uttlitfes ❑ N. 811 Jefferson Plan Review/Flre Preventlon • Q N. 811 Jefferson Other (SEPA/Criticel Material/etc.) ❑ ~ Fast Track/Speclal Inspectlon Informetion Project Representative 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 application is true and correct. Signature Date - r~- ~~a` _ `~'"'A ~ti,r,• ; - .-~±"rac~~'~"~'~;4,... ,-~'.r "e-~ ~,.~',~i~..~s -.-ss'src~"-= , ~ : ~ = r ~ _ 4 . - _ ~ ' ~ - f i-• v ~ } _ J ' ae . • ~ _ . - • . - L . 'g- - ' ~ . ~ ~ - ` . ~`.~e~a"~ y.i.'.~ - i r ~ ~ ; - ~ r - ' ~ "`~F: e 'T_ •i . ~ t~ ~ ~ . ~ L - - u~ ~s.~~ - a . - - ~ r . _ N A ' ~ 'R~ - • - - ' ~ ~ ' i . ' ' f" _ _ ' ' , ' • ' _ _ .M . . _ _ ~ ' . a~,=~ _-Y- ' ~ - ~ - • ~ - ~ ~ _ 1 _ ~ ~ - - - ~ ~ ~ - - ~ ~ _ - _ - - - - _ : _ ' - - _ - - _ - - - . - - - . ~ _ , _ - - _ ~ - ° _ _ 3 ~ ~ . ~ . ~ " ~ - -s.~i __-__..Y}- ~~w . _ ~ _ . _ f _ ~ J -Y ~ ~ ~ ~ _ ~ . ~ . - - i _ - - - ~ - f - - - - - - - ~ s e I _ ~ _ I ~ - i-- ~ - • . _ - ` . Ti P I ~ - . ~ • ~K - ~ , . ~ ~ - - i j - - i - - ; - - - - - - - - ~ d ~R.~'- - - - ~ ~ ~ y _ ~ - - - > - - - - - - - f E - - - ~ ~ - - ~ - ~ - - _ - • - I ~ _ - - i- - . _ ' - - ~ ~ r - - , - - • - - - - . . _ - ' - - z ' . ~ ~ . - ~ - ~ ~ ' - - - . - - - - ~ - - ~ ~ ~ ~ - ~ ~ _ . . ~ - ~ . h - ~ ' ors . 1 - - _ - . ~ _ - . . . . ~ _ . . _ ~ - ' - " . . - ' _ • . ~ _ ~ ' • - . 3 : _ ~ • T - ' ` ' - ~ ~ • ' . . - " • ' ~ _ ' • - _ ' • ~ • - _ . DATE...SUBJECT......... ............~.KA6Z:Q...............SHEET NO .._.......__OF...... ' CHKO. B`r.............. DATE............... _.r : - J06 NO...... ..c~ -7+ _T ...:~Ca,ro.........Y..,...-................. . _ _ • , ~ ~ . : . . ~ 9, . . I • . . ~ ' - r . ~ • ♦ ♦ 2 f ~ . . ~ ~ • . .i~ ~ . • • . ~ ~ . ~ P~PC. . ~ . , . . . _ . , . . . . . i.: t , , I T ~ ' . _ , _ ~ - . , . _ ~ , • o ~ . ~ ~ . - . , ^y +Q ' . t ' C 1 ^ \ \ . ~ - ~ . . . . ~ ~ - • 1 ' ' t~ 1 L~, ~ . . . . ~ . rt~ • W-S ►o.L ~ ' • r . : • - . . . y~~r:{~ ' ' - . o . - - ' . ! . • - - ^ - ' - ji'' .~l' S: C 'a' . ~ • : . . a _ • . ~ , . . • . . .