Sprague E 8311 Cherry Lane Auto
A
BUILDING PEAMIT APPLICATiON WORKSHEET
.
PLEASE PRINT AND COMPLETI~ ONLY THGSE PARTS OF THE FQRM YOD UNDEk5TAN0
(Pleaee return this original and your building plans to the Department of 8uf Idlng ana Satety)
~ 1 Oeaner'sName n.sgtI Ilirstl (m) tp~w m enttl9BQnty Cherry Laae Autv 1 LMm
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C "YYS /WYr~a `n~ 17aa~l'~ I /~WQtM, cr Ftoad Name Spam ZIp
C. 8311 Sprague Avenue 99206 ~
3 GtylOammunlty State Suedivision/ ptat lz NSJ
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Spokane WA
1AssomwPlitoel No Lct ° 81otk
' - w t► ♦ QEPARTMENTi►1SFONLY FSac V ne At t I Zone Project No
Fta oi 8uitdinps Sq Fl lAtre Oepth F~nte~ye
c-Fratt (L)S-1 (R)S-2 Rear amaue Traol Module No Initiata
~ 18 Arofiltect Firm (Vame Street Address *
Lip Gty State Phone
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ppntacl pWpn Phone if dlNereM Inan eOove
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y Ontreotor Finn Name 6treet Asfdreaa
Tri-State Sign Co., Inc. N. 619 Nape
~ Zip pty Stete Phone
99202 Spokane WA (509 )535-7724
" ppnW Pamn Uoom bb PFeorte If dilterent lhen ebave
Orlyn Vigesaa TRISTS*257Q5
8 OwnerlApent (if different than Nt above) Buainess Adereas
9 2ip Cdty State PRcne
( )
12 Review Require0 Wan Chedc (Y/N) Otlter (YIN) SEPA Ezempt (Y!N) Date
18 TypeWfotk 01 61dg Irl MH New f" Replace X. Other
C Fire f_'~ Denw AddlAiter O Move signAge
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Id pexribe WoNc
10 Appliqnt Neme 81ree! Addresa
11 Zlp CHy Scate Phane
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Lendar Street Address
Zip Cily State Phone
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DEPARTi1AENT APPROVALS
This is n a Permit
Appltcatlon Type
(Standard untesa (Indicated approvals requlred irneltAer •retease' or "refease with conditione"
atherwise indicated) $pece prior to per,mit ia9uance ~
Fast Treck
Ear(y Start Rs~~
Refease wlcond 1 Hoid 2
}
0
Envlronmentat Heallh CI Commercial, D Resfdentlal ,
W 1101 College C7 New Constructlon, p 81dg alteretion/addition
Room 200 0 Additlonel atructure, -
APPLICATION p -
~ CondltlonslComments -
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Pienntng/Zontng. Q Cammerctai, O Cert ot Exemption, O Frontage,
' N 721 Jetfenson 0 Setbacks, CI lot w/d, ❑ lot size, 0 uselzons, ❑ CU, variance, zone changa, ahoreline, ❑ tence, ~
O Other ~
Conditions /,pom~men s ~ -
- - ' t
❑ Englneers; D Commercial. [l Restdential, 'O; Flcwd Platn,
~ N 811 Jeifersan 0 dretnage O newacxssslapproaah, O, tence, Q raad innpfovements '
CondtUona/Comments a
El unntms•
N 811 Jetferson .
CanditlonslComments
~ OUrer:
~ ❑ Pten Exam
Fire Prev.
Cortditlon8/Comments
,
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~ Project Representative Tetephone
~ Agenclea Performing Special Inspectlon
N C '
Y O
i Q 2
LL C
3
1 Indlcate obove or attach condttlons rolstlve to Ilnel ea buf{t approvsf
2 Indlcate ebave or attech reasona for hold
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AUTO
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