1984, 09-21 Permit App 00002420 Hay Cover & Storage BldgBUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name
(last)
CHWPIVRA/
(first) Iml
/3EVERLY
Oapar[ment Use Only
I Comm
2 Project Address (not Meiling Address) v Road Nemo
19 V Space Zip % o2,7
3 City/ munity
S
okgtie
State
INFiS�J
Subdivlsion/Plat Name
e Assessor Parcel No.
- Offy j 2 -Uli9
Lot
I
Block
t t t DEPARTMENT USE ONLY t t t
5 Sic Cade
Zone Act.0
Zone
Project No.
6 Dwells
U
No. of Buildings
Sq. Ft./Acre
G . l' l�l_'.�
Depth
Frontage
7 Set Back -Front
(L)S-1
(R)S-2
Rear
Census Tract
Module No.
Initials
16 Architect Firm Name
Street Address,
Zip
City
State
Phone
1 1
Cbntect Person
Phone if different than above
( 1
Contractor Firm Name
119,014ARk 9'lm no&r bCUc�r°/�
/
(c�1 r lru t %c,
Street Address
ill, wla GAkE RO
Zip
99a/12
city
SPCK/IAJE
State
L�A�y�
Phone
Sri 1 S"3i s'/�s
Contact Person
/4fKE 42 Cuc/KR/aC
License No.
CJ -CK RC- Z-4)eCA)
Phone if different than above
S Owner/Agent (If different than s1 above)
Business Address
9 Zip
City
State
Phone
( 1
12 Review Required
Plan Check (YIN)
Other IVI N) SEPA
Exempt (YIN)
Date
15 Type Work
Bldg
❑ Fire
❑ MH
❑ Demo
New
❑ Addl Alter
C. Replace
❑ Move
❑ Other
14 Describe Work /- --fez
//Q (,4Je✓ `� -fLzVh
1 J
I 71 SAP%G p
10 Applicant Name
Street Address
11 Zip
City
State
Phone
( 1
Lender
Street Address
Zip
City
State
Phone
1 1
Contact Person
Phone if different than above
l )
Additional Information
LANDMARK
STEEL BUILDINGS®
BY COCKRRI CONST. INC.
N. 101¢ LAKE RD. (509) 535-5115
SPOKANE, WASH. 99212
Afpr`v. G y AcrzES (R,tpl
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N. 320o BARKER- Pz
gal- as7,�
PA9? El. aC-osssV-0/0/-r
W. FARw. IKR. TP, Pk c2 5 j 78 Fr. o -C tv..?J/5F+. B.10 9B
r"Itle up a( oessa - 0ra4- t)
w. FAak\.7 rear. Te • Fr.a Tl?jb eye.. 5.1-7S Ff. 04' Iv.j245 F+• a,,J E+rc, w. aoo rf oC / .X0 F
` sAItM
I PA S o e�5s Z -010
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"Why have just a building, when you could have a LANDMARK"TM