Sprague E 9120 Outdoor Sportsman Sign
~~Nfil'A'BEa APPLICATION/PERMIT pERMtT NUMeEh ,
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ~
NORTH 811 JEFFERSON ~ SPOKANE, WASNINGTON 99760 /(609) 4563675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Jo$ AooaESS LEGAL DESCRIPTION - SEE ATTACHED
1 F- 1I Z0 Si'RAGLIF, h VF- •
Lp vaacELNunneEa/s
2 T1#. WLz oF Zrn7' 1e'RC, -fFFv- tN I15' 'n1fRiaciF AMP
owNER PHONE 1114- uU to'oF Z43
g "fcM j#&M I-:%Dfj a2-4-91 3r Lgc. MIY PtN Wi-;HiN St~ I4+qtwjAti No Z •
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ADDRESS ZIP Aclual Set Baeks ln Feei ~
~ yi .Z.(7 Sp~~ 1 1A +0(0 North IS4uth IEast (W6st
CONTRACTOR PHONE iEO of Partel Zona Classlfication
4 i f 0L1-~aO~t. SPo~ 32.a-155(o I0W194e Cll~~-
AODRE55 ZIP Type Consl flccupancy SOrinklered
N D1VISIDN Q92.07 ❑Yes ❑No ❑ Req'd
DESIONER PHONE Valuatton 9uit01ng Area In Sq Ft
5 ADDqE55 21P Maln Floor UpAer Fioors Oarage Area Storage
CHANGE OF USE FROM TO Area of Detks Flnished Baaement Uniln Basement
6
No Baths No Stonos No Rooms No of Dweuinps
rvaE ❑ NEw ❑ ALT. ❑ ADON ❑ RPL ❑ nnvE
7 AF L~lQTHER Req'd Rec'd NOt Red'd
wORK ❑ gL0 ❑ PLMB ❑ MECH ❑ M H ❑ ROOI CERTIFICATE
of EXEMPTION
DESCRIBE W RK ~ Enum Oist Loration (Area) ffFSCOLLECTED
8 ~ I rxN Li.sI ar, 8' x8 ~
VALUAGQION' Sp ~E aAS ELECTRIC WATER SEWER pwnership USE CODE
9 160 y UTIIITIES publlc ❑ PrIvate 0 Smgle $
I hereby cercify that I have read and examined this appUcatian and have reed the "NOTICE" provisions mcluded ~
on reverse side, and know the same to be true and correct All provisions of laws and ordinances goverrnng this guilding
type of work will be complied with whether specified herein or not The granUng of a permit does not presume
to give authority ta violate or cancel the provisions of any other state ar local law regulating constructinn or the
performance of construcuan SEE REVERSE SIDE FOR REOUIRED INSPECTIOAIS Plumbing '
DATE OF APPLICATtON SIGNATURE OF APPLICANT Mech
SPECIAL APPROVALS SPECIAL CONDITIONS
NAME DATE Plan Check
Enu Health
SEPA
Mobile Home
ne arshal~ " ~
)kCo I tAr Other (5peoify)
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a Plans Exd mer
WHEN MACHINE VALIDAT?D IN THIS SPACE,
SEPA Chetklfst THIS BECOMES A PERMIT
BuolQ1ng Technicie-, PEflMIT IS NONTRANSFERABLE
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