Broadway E 13620 Baptist School Portable Classroom y
yikANNAMeER APPLICAT ION/PERMIT PERMITNUMBER
SPOKANE COUNTY - DE'ARTMENT OF BUILDINQ & SAFETY
NORTM 811 JEFFER80N / 9POKANE, WABHINOTON 98280 !(509) 4g6,4@T6
APPLICANT: COMPLETE NUMBERED 8PACES - PRESS HARDTO MAKE 3 COPIES
srF+ML.6Da+FS5(o~ 0 ~~[~9OW P~`'~ PARCEL NO
1
2 LoT eLocK suBOIvIsIo~ LEGAL oESCAivTioN*
EF- x I(o vnqA
OWN~ PHONB ON ' j
2a, 1 3 MAllINO ADORESS S Acuaf Set Bedo In Fed b. - ~
--5-30- I1!~2~ ~~'~t•,[~ ~~~o moti I~ lEot Iwa+ I?
CON;g~1¢TO~t~ IICENSE EXPIRE9 PHONE ~r ~
4 ~'q`~
aaoRE'ss - - - - nP °o~;~j _ ❑res O~ ❑~-e
OESICiNER PMONE NewOarot ViluatOn RenwdeledVeluetlon ToW Bldg FlaaArea
5 AODRESB ZIP W ~ F~o►,~'~X~ ~ l"er Floore OwegelSlore~ (3ree~ee
CHANaE OF USE FROM T0 0010e► Oedc lhm Dedc Fln Basment Unlin lBaseffienl
TYPE No.Betla No Floore No Fin Roofn~ No Owellinge
28 ~ ALT 0'A~'N ❑ APL MV E.
,
1 wOAK L0 0 PLMB 0 MECH 0 M H ❑ POOL Owtiti ftq~dred Yeso Hoo ~
Reoetiea resa Nan
OE 9E SbrelWel eFtoodMe~O Plane ilapulre0~
8 Y.a No aWio o Roe~ea
Ati
V ~g~ SOl1RCE G C WATER_ SEW
► oF r~ica~ sEmc FEES COILECTED
°i
9Lf ;U unurIEs PRivaTE-0 sEweR o` pavic o orwoe
~
I hereby certlly lhat I have read and examined thls applicatlon and have neid the'NOTICE' provlslone Inclu4ed on
reverae slde, and know tAe eame b be true and correct All provlelane of taws an0 ordlnences gaverning lhls type af ~~lng ~
worlc will be complled wifh wAether epeclf led hereln or not The, granting ot a permlt does not presume to give au-
thorily to violate or canael tAe provlsione ot any other etate or loal Isw reguteting aonetrucNon or the perbrmence
of cansfructlon SEE REV E SIDE F REC R D INSPECTIONS pwftft
SIGNATURE OF APPLICATION
'OWNER OR AOENT DATE ~ Meon
SPECIAL APPROVALS S CIAL COMOITION8: (SEE AEVERSE SIDE FOR NOTICE) ~
~ ~
E,i,,, ~in PRELIM RNAL OATE ?1..11.P1t*j4 ~°p.
enninq A- ✓la <l G*j SEPA
Mofti
PQ lwFlmne ~
f5`'^'~`$ • IYi
` i
Eng,nee, - - (t ~L(J othe►mpodh! c
,
U~imies
TOTAI s =A--~
WA ~
PERMIT IS MOMTRAMBFERABLE TM OECpMEB A PERM~ITTEO IN THl8 SPACE.
PERMIT fS P1ULL AMD VOIO IF WORK NAS NOT OOMMENCEQ
IN 180 DAY8 ; ` " ^ , - ° ~ ~ oA181~ • vERfMR no. tOTAI
I ` .
~
. ~
✓ ~1
~,,,,r - ' ' ~at~""~~y~"►a
~.ry 9
I
~ ` r ✓ ~ ~ I ,
t ~
i .
r ,
~
1 ,r•e ~
\ -I I
, n,,~,~•, y . ~
~
~
or
. } ~
. _ - ~ , ; ~ ~i4~ . • _ _ ' _ --1
T ° f
o
~
,
P
. ~ • ' "
~ ~r' i1r` •
~
~
~
~
i~-- - SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY b
NORTH 811 JEFFERSON ! SPOKANE, WASHINOTQN 992601(509) 456•9875
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES p~
STREETAODRESS PARCEI NO
~ _ _I;e t`3 43-k1 - Cti<wQ l ~
~
2 LOt sLocx SueoiviSioN LEaAI DESCRIPTION VI~ o` •T~~ ~ti~, ~~R~
OWNER PHONE PNONE .
o ?ff=&,LLp.Q 6►1P-tL•z,'t 4&C_e1CAL5- C{?(o' ZWS
MAlLINO ADDRE$S ziP Actual Sot 9eclq in Feel lo
__E 15{o20 ~'RvAOCJ{~ ucta~.~4 North (l0' ISouth (Emt ~weal 11 ~
UCENSE EXPIRES PHONE Si~e s~~~ Zo e Ctesellioatlon qW~m~ q
4 a~ P , Cw,~ial
~DRE9S ZIP TypoCansl Oocupet~r ~Yee S~ONsr~ DR d
01g eq'
OESIGNER PHONE NewCarot Vefuatlon Remodeled Valuatton Totel 810g FloOr Ar@a
5 AODRESS ZIP Maln Floor Upper Flooro GB18g81910f8g8 GreenAou3e
s Ca1ANGE dF USE FROM TO Ower Oeclc Uncv OeCk Fin 8asemenl Unfln 8a9emenl
/ No 8alhs Na Floore No Ffn Rooms No Dwellinpe
1 O~PE 0 NEW D AlT 0 AO' N❑ RPL ~1 MVE
WORK ~ 8 L 0 ~ P L M B 0 M E C N _ M H 0 P O O L Q OTHEA c ~tll empt Roquueo Ye90 NaO Nwn~
Reoelved reso Nof7 ,
OE8CAIP kYOAK Sho~ellne~lFloodFlatard Plans Requlted ~
8' ~fZ't~'~~ Yes❑ NotAppllc ❑ Realved 9~
YAI.UATION SO~FCE cns ELEcraic ~euc g~a ~'ip W/ FEES COLIECTED
9 ~ UTILITIE9 PAIVAT SEWER G R+allc ~ Prlvate
I hereby cenity that I have read and examined this applicatlon and have read the "NOTICE" provislons Included on
reverse side, and know the same to be irue and correct All provisions a1 laws and ordinances governing thts type ol BuildinA
work wlll be complied wlth whether speci(led hereln or not The granttng ot a permit Ooes nol presume to give au-
thorfty ta violate or cancef the provisi0ns ol any other 9tate or local taw regulating conetruction or the pertormance
of conslruction SEE REVERSE SIDE FOR REQUIRED INSPECTIONS PIum0ing
51aNATURE OF APPL(CATION
OWNER OR AGENT DATE noch
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVEASE SIDE FOR NOTICE)
PflEIIM FINAL OATE WenCheck
EnV Fiwllh
BEPA
Pianninp f
Modutatl
Fire Ar-64 MF(i Home
Prevem
Enplnw Other (Speclly)
Ulftllles
TOTAL a
SEPA
~ ~a,~ PERMIT IS NONTRANSFERABLE wMEN MACHINE VALIOATED IN THIS SPACE,
THIS BECOMES A PERMIT
PERMIT IS NULL ANO VOID IF WOAK HAS NOT COMMENCED
eui~tding IN 180 DAYS
OATE IS3UED PERMIT NO TOTAI
I