HomeMy WebLinkAboutSprague E 11205 Washington Mutual Sign Relocation . 1
004N NUMBEA APPL ICAT ION / PERM IT PEAAAIT NUMBER
SPOKAPlE COUNTY - DEPARTMEHT OF BUILDING & SAFETY
NORTH 811 JEFFERSOM 19POKANE, WASHINOTON 892601(609) 458-38?5
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARDTO MAKE 3 COPIES
sn~rAOOREs PARCEL NO /0-q3 F1 205 Spra~et Sflokane, ~lA. 9920b ~S
2 LOT BLOGK SUBDlVISION LEGAL DESCRIPTION.
Washington Mutual ~?1-4691 ~'0NE
3 M i~ a "~8101 ~sd e~in r~c~
1~lb~ ~Second Ave. ► Seattle, WA. Nwt,, I&M,, lEm,
CONTftAC'TOR Lt PIRE$ Slaeat Pmoel ZaieC~slllcetfon
4 Heath Northwest. Inc. ~~-6666
97M1 Sprague, Spokane, wA. ,99202 T'° a c D 1w oree or~ oaoqle
0£SIGNER PMONE NmCom, YehuwOn Ran►odeled Veluedan Tafal BIdg Ftoa Area
5. Same S2t000 96 sq. ft.
AODRESS nP Mwn Aoor UPWFoore a a ra~er~e Gree+na,ee
8 J3 L19111E B SFRdM T0 Businese OD~et Dedt lJn~ro Deelt fin B~en~snt UMin B~tt
N0. ea~e
NPE 0 NEW Q ALT 0 AD'N 0 RPL 0 MVE m F1oor0 F10 Pln Roome No. Owelllnpe
7 WORK 0 BLO 0 PtMB ❑ MECH 0 M H 0 POOL 0 OTHER ywa NoQ N~
Reodre0 YeeO NoG
8
oEsCR'eE"'°R" Sign Relocation ~"~/~°od`~`° `~i~0°
_ resa Not A~lic a aeoei+ibd a
vawanoN S0QRCE ans aECrnic g~A ~ o~v FEES COLIECTED
9$ 2r000 IRIIITIES PRiVATE D sEV+EA 0 vw~~ 0 Pdvate o
I hereby ceirtify that I have read and examined thla appltcatlon and have read the "NOTiCE" proviatone Included on
reverse alde, and know the same to be true and correct All pronslane of laws and ard(nances governing thls type of Oulroing _
work will be 6ompiled wHh whether, specifi'ed fierein or not The granting of a permit does not preaume to glve au•
thority to walate or cancel the provtsions of any ofher sta e or local law regulating conatructlon or the penormartce
of construction SEE REVERSE SIDE FOR REOUIREO IN~PECTIONS Plummng
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE Mech
SPECIAL APPAOVAl9 BPECIAI CONDITION8: (9EE REVERSE SIDE FOR, NOTICE)
PFi~IM FINAL QATE
Etrv H6allh SEPA
Ptanning
Modularr
Flre MPO. ►larre
~
P`e0e"' Ft~AL '
~i~ ~ (Spowty)
~
lllllilte.l
- TOTAL $
SEPA
AERMIT IS NONTpANSFERABLE WHEH MACHINE VALIQATED IN THIS SPACE,
~ THIS BECOMES A PERMIT.
Exa" PERMIT IS NULL ANO V010 IF WORK HAS NOT COMMENCED
i^g IN 180 DAYS _
QATE 198UED PERMR NO TO
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