FLORA & WELLESLEY E VALLEY ELEMENTARY SCHOOL PIAN NUMBER APpLICAT10N/PERNIIT PERMIT NUMBER
SPOCtAN,E- COUNTY - BUILDING CODES DEPARTiMEHT
~ NORTH-8114E`FFERSON / SPOKANE; WASHINGTON 99260 /(509) 456-3676
t - - - =
APPLICANT; COMPLETE NUMBERED.SPACES - PRESS HARD TO MAKE 3 COPIES JOB-A'DO R ESS-
LEGAL DESCRIPTION - SEE ATTACHED
LOT i BLOC , PApCEL NUMBER/S. '
OWNER j
PMONE.
3. TAnbra ` Dunham 91e=4023
aDDRESS ZIP Aicual Sot Backs in Feet N. 3808 Sul1ivan..Road, Spokane., .WAi99216_ o►th lsoucn East 1wast
CONTRAC,TOR PHONE: Stto oI Parcai Zorte, s11 flcati
Heath Northwest-, INc. 455-8466 h,. 4' AnDRESS 2113' •Tyoe Const. " Occuoancy Soii klereaE• 411 Snraque, 'Spokanef WA. 99202 1 oYe, VM d aeq'd,
OESIGNER PMONE Velustlon Buildlnp,fired in•Sq. F;.
5. ~q a in $1300. 00 24 eq. f t.
ADORESS ZIP Maln- Floor, uDaer floors Gareqe Area Stareqa ,
CHANl3E'QF USE-fROM TO Area of Oetks Ftnisnetl 8esoment Unfin, Besement
6~~ Business to Bueinese " TY„PE ❑ NEW ❑ ALT. AO'N, ❑ RPL ❑ MVE. N0. Baths N0. Stonet No.' Rooms No. at, Owening4
'
7. OF EXOTHER' -
WORK ~ BLD. ❑ PL'MB. ❑'MECH, ❑ M.H. 7 aooL CERTIFICATE aeq'd. Ret'o, 'Not Rea'd.
of EXEMPTION
DESCRIBE,Wq,RK Enum. 01st. Lacalion (Area)
B.• Slqn .Instal18ti0A - FEfS COLLECTED
vALUATION SOllii'CE GAS ELEC'f,RIC 'NATER SEWER pwnership USE COQE l
9•$13'00.0 D UT,ILOITIES Publit+,DPt lvete C]
- Single $
I hereby certify that I have, read and examined,this ;app(ication and hav,e read the "NOTICE" prov,'r'sions inCluded
on reaerse. sitle, and know the same to be true and correct. All provisions of laws and ;ardinances governing th'is '
pe of work will be; complied with whether specified herein or noG The granting of a permit dnes not p~esume Building
ry,io giVe authoriry, to diolate or cancel the provisions of any other state or local law regul'aiing construction or the
performance of construction, SEE REVERSE SIDE FOR REQUIRED IIVSPECTIONS Plumbiny
OATE OF APPL-ICATION SIGNATURE OF APPLIGANT Meth,
SPECIA'L APPROVALS SP.ECIAL CONDITIONS:
NAME DATE Plen Check
Env, Health ~
Dianni SEPA
ing
. ~
F+ rsnaii Mobile Home
c ngi~i er - Other (Specify)'
~
v' Ilitc
i6S
- - $
Plans Eltaminnr TOTAI
SEPA Checkllst WHEN MACHINE VALtDATED IN THIS SPACE,
- • THIS BECOMES A PERMIT.
Bultding Tacnnician PERMIT IS NONTRANSFERABLE _
PERMIT EXOIRES ONE.YEAFi FROM OATE OF-ISSUANCE DATE ISSUED PEFIMIT NO.. 1'O;TAL
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