1986, 12-05 Permit App 00014423 GarageDEPARTMENTAL REVIEW
Environmental Health
W. 1101 College
Room 201
111
Planning/Zoning
N. 721 Jefferson
Permit Number
Engineers
N. 811 Jefferson
Utilities
N. 811 Jefferson
Plan Review/Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative
Address
Phone
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signatur,,
Date <. -� b
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exfs.
PP osed ; Gr
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