1984, 06-08 Permit App 00000593 Garagea
BUILDING 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)
Owners Name (Iast)
iNGLE
(first)
CIA /14 tir
(m)
Cepartment Use Only
Res.
Comm
2 Project Address (not Mailing Address) or Road Name
i, 900Z 2'fbi4NA
Space
Zip
3 City/Community
/o
Statefr p
Subdivision/Plat Name
r Parcel No.
4 Assessor
0 7543' - /002 - 2.
•7
Lot
Block
< a + DEPARTMENT USE ONLY *
*
*
5 Sic Code
Zone Act. #
Zone Project No.
6 Dwell #
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Back -Front I(1.)S-1
(R)S-2 (Rear
Census Tract
Module No.
Initials
Street Address
Zip
City
State
Phone
Contact Person
Phone if different than above
)
) Contractor Firm Name/ / 0 /) I// d s
f-cLh�GI(C Jfe<f �[,.s/F�Nji � (4c o r-OhS ram• �
Zip
City
State !AA-S/,
Street Address
/t /4/1 L4.44P .
Phone
(a ) SrS—S/Ir
Contact Person
/1I1146 Ca NAgniASt 1y
License No.
Ca—c/G-RC *2-0 tCA,
Phone If different than above
8 Owner/Agent (if different than #1 above)
Business Address
9 Zip
City
State
Phone
12 Review Required
15 Type Work
Plan Check (YIN)
* Bldg
0 Fire
Other (Y/N) SEPA Exempt (Y/N)
Date
❑ MH
O Demo
,New
0 Add/Alter
O Replace
O Move
0 Other
14 Describe Work
2 car 14rQge
10_�Applicantgg��Name
/% [ / /ne
1a4,,crk S </ `z,,/d , 67 `/F �IDYr il- OJ.?
ity State
Poie/LAIE G^` rN
11 Zip
Street Address
N. /4''4
Phone
(Coy) sus-S/.s
Lender
Street Address
Zip
City
State
Phone
)
Contact Person
Phone if different than above
)
Additional Information
LANDMARK
STEEL BUILDIlNGW
BY COCKRR.L CONST. INC.
N. 1014 LAKE RD. (509) 535-5115
SPOKANE, WASH. 99212
kT231: ftrce,l 0 07513 _ /0CIR-Z
JvrA,y T W; siL
g 9002 7M.1.;•.A"..- Airc..
5,4wa Rosa FJrk
/Y /404+. aF E. 75 eF
W. 270 44• BY
i. Soot -1-n.Uww
"Why have just a building, when you could have a LANDMARK"rM