Sprague E 12021 Sign - Sidney Smith Bldg wLArM nUnnntr+ NrrLIVA I IVn/ rtMmI I PERMITNUMeER
SPOKANE COUNTY - DEPARTMENT OF BUIIDINQ & SAFETY
' NORTH 811 JEFFERSON ! BPOKANE, WASHINOTON 8M 1(809) 4W38T6
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPtES
~rAOOM~ PaRCEL Ho F 1 N AL
I E, 12021 SpxMe Avenuea Sp~~gs Wg ~206 ~
2. loT BLOCK 8 Diw810 L GAl OE ~
SC ItON' OPyor+k v%. ~~'`C ol b 1 SS
ovuNE+ wione ~roNE ~ 170 Fi uf SJS'dFf E~cc Mwb. °
3, Si eyy Smith Alda.
MAIUN(iA00iiESS ZIp TFI;ed o'
E. 12027 Spra$ue Avenue Spokaue' WA 99206 Nwth ~sofiah 7*~I am ~ woo
CONTRACTOR LICENSEEXPIRES RMONE ~d ps 7arteClaseflicatlon
4 Tri-State Siga Co. 9 Ine. T S S* - ~lw/E~c~qL
AOORESS 5 1~y' ZIP TypeOorqt OoCUpuwy 4Yee SVNo ed
:Req'd
N. 619 Napa Spokane, 41A , 99202
OESIaNEA PMONE NewOonet Vaiuatlcn Pamodebd Valuetian ~8lop Ftoor Area
5 9&~~-
aooRESs zIP NWFoa~ uvperFlooe t+arWistwage Greenrtcusa
diANOE OF USE FROM TO Cover Oack UnoV Oeck Fin BtanWnt Unim Basement
6
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No, odb No Floom F!o Pin Foom No Owellings
O~PE ~NEW ❑ ALT AD'N ~ RPL ~ MVE ~ OTHER
WORK 0 BLO C PIMB 0 MECH 7- M H 7- POOL Ceniiv pt Requutrred rp r~w~ ~be►
Aeoetree YsSL, MaA
OESCRIBE WORK ShorellneelFlood Fowd PIeN "uireq ~
8 Install nsw 8' x12' s 1 ra(- No~ App,ic'y ReoetvWVALUATtON 50URCE GA6 ELECTRIC wATER EWAtiE
FEES COLLECTED
oF Pueuc 7 sEvnc - ~'~0
9$2,400.0C uritmES PRIVATE - sEWER = Pfklo
I Aereby certify that I have read end examined thle applicatian and heve read the •NOTiCE' provielons Included on
nverse aide, and know the same to be true and correct All prowsians of laws and ordinames poverning Mia type of Bui~lng
wark will be complled with whether apecifled herein or not The granting of a permlt does not ptaume to glve au-
thority fo violate or cancel tAe proviaiorta ot any ather atate or local faw regulating construdlon or the performance
of canatructlon SEE REYEABE 81DE FOR REOUIRED IMBPECTIONS Plumbino
SIGNATUAE OF APPIICATION
OWNEp OR AOENT OATE Med+
SPECIAL APPROVAL8 SPECIAL CONDITION8: (SEE REVERSE SIDE FOR NOTICE)
131an Chock
PRELIM FINAL QATE
Env MealtA
0 SEPA
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TOTAL $
SEPA
WMEN MACHINE YALIDATED IN THIS SPACE,
~ PERMIT IS NONTRANSFERABLE THIS BECOME3 A PERMIT.
PERMIT IS NULL ANO VOID IF WORK HAS NOT COMMENCED
i'g IN 180 DAYS
' DATE 186UED PERMR NO
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