Sprague E 9410 NW Outdoor Advertising - Off-Premise Sign rLAM ~umor-n Arr~1%oM i iurr,r rLKn" I I
_-PEA MIT NUM BER
aPOKANECQUNTY- DEPARTMEIVT QF BUILDING & SAFETY
NORfiM 611JEFFER$ON #$POKANE,'WASHING1'DN 992M 1(30M) 4&3875
~
APP'~.ICAN~': C014~PLE"t'E NUNIBERED SPACES - PRESS HARD TO MA~iE 3 C~1P1E5
1. ~T~~€~~~~ss ~ PARCEL Nv, i ILK/0SUBDIVIS164 ~ Q ~ pb.C LaT LEGAL DESCRIPfiIDN:
2. z 2. 03
OWNER PfiOMf PH4NE ,
U8_503h
MAxLt NGAOdAESS y
ZIP fl eetl4;
1119 E. 57th Spokane. Wa. 99203 mmii Gsoun► jEaM ~w.mt
CONTRACTOR LI£ENSEExPfRES PHONE suedproel
. + Cli=iric~ttag' w ~,t~f
~j1'?.re~~" (~mmirpal L
4. Jank _7l1 3 /A)r ZI 922-3207
ADO~tESS , ~
T'ym{3ore• t]pduPOrN.'y SprinMkrI W
E. 115()4_HpntZmwV 992D6 --y+s Na : Plea I c.
JESIGM RHOhkE NewCUr*, Valwtlon '
, ~BIIIl7l8Il~ ~ ~SSOC~dt~B ~I1C i~x+dwdv~wtian t Total8wd7q r Ioor.are~
5t ~
AODRf5S Z!P l441M Flw 'JPRiIr FkCr1 CwrWio5fd'"o ~ Grren?ioule
--uul-Nf 3c;tdb PhoeY]]x.~ 2'1Ta= ~
CFIANGEOF USE FRt7M TO Covr L3lWt 1 l)ntv CNCk f~n Smornent I Unhn Sawment
6. T~~~ - Ma.ewh1 ~Na Fb~rs F+n I4noRe I~r~c. Dw~IMnqs
~F ~ NE1N ~ ALT. = AI7'N. ~ RPL. ^ MV~. - pTHER ~ ~ .
WORK - BLi?. ~ PLMB. = MECH_ ~ M.H. ~ POOk Certrh of Examo i 4m,,,rw, r" No- Nurntw '
ar vrNWX* , phillcw,ed Ym. No
f}ESCRIBE INC1~iK "af~orM kn~1 Re~7u~re~ .
C f F4ppd ~+~r4 ?!ym 4 Off-Fre S ~ ~~dl N~f IIpPtiC. . f~lCl~wdd
'JALIJATION 5UU~CE GA5 ELEC7RIC '~A?'ER ! SE1h'AGE ~,,p
oF p1JeLPC s€PTIC ~ FEE* Cl?LLECTED
l1T~1171ES wi /y ~ PRIVA'fiE 5EW'EF~ PuDlk Prewtt*
~+#f-JL
i hereby certlfy that I lhave read and examined this applica#Epn and have read the "NOTICE' proaisfpns ineduded an
reverse side, arrd knaw Ihe same to he trWe and corrtrcc#. Air proviarans +of iaws and cardinancse qrnrerning thia type ot ~
work wilJ be oomplled wilh wh9ther specified harein or not. The granisng of a permi# doea not preeuma to pive au•
Ihori#y #o violste or cancel ihe provisfone of any other state f It~f Isw regul$tinq construction or ihe par#nrma~rve ~
of ~cons#ructi~an. SEE ~tEYERS~ 51DE FOp RE~O AE IN~ CTIONS P+uniN+lp
SIGNATURE Df APPLIGRT18N
C}WNER OR AGENT 'bATE
SPECIAL APPpDY#LS SPECIAL COHDITIOMS: (SEE REVEFiSE SIC1E FNDTICE) -
Pf9Ellluf. FINAL DATE ~fn ~eck
Env. HegJlh
SEPA
Planninq
J ti ' •fr]~~ ~wfodu~ar~
Fire MFG. Home II
~reuent. -
~ifter ~ {}Ihw (Specffy)
Llilwflee ~
PA TOTAL
s~
~
PUn PERMIT iS NDNTRAMSFERABLE 1NNEN MACNINE UAlll]ATED IN THfS SAACE,
TNIS BECDMES A~ERMIT.
. PEFfiMIT IS NULL AND V41G ff VYORK HAS NQTCOMMElVC£D
IN 190 DAYS _ OATE ISLIED PERMII FIO, T
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• / I
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY ~
NORTN 111 JEFFEREON 1 SPOKANE, WASHINaTON 99M 1(50!)/W3615
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES ~
1 STREETADOFiESB PARCEL N0.
~ ~ • ~iV
LoT BL K sug vi i LE(3AL DESCRIPTION:
2.
OWNER PHONE ~PHO_I~E+~~~
3. S~ ~i~ w
MAILING ADDFiESB 21P 12'6_~CW6
NIX to ~ZL/l I~ I~ I~
CONTRACTOA LICENSE EXPIRES PHONE Sla~ d P~roN 2toeW UwNiqdon qMKMMiN Ei,
~'1 Corrrn~nCl~l~
~
4. ADORESS ZIP 1ype 0orML Oo~w,y Y, 9D►rnklend
OYa XNo Ofip'd.
DE GNER PHONE pton;a Valuation I MYNXWW
VdWtlOn iMrlBbq. FIOOr Ar'ea
.5i(TN i 3~ ~'t
5. SQ.2.tC~ - d n)S.7
ADORE53 ZiP Mdn Floa Uppa FloorY Orapel3taape I Greenlwuee
CHAN(iE OF USE FROM TO Owm DKdc Urwv. Deck Fln. Bwrtienl Unfln Batement
s. ~
No. Bntn1 No. Fbors No. Fln. Roome No. Dwdlinps
7. OFpE ~(NEW 0 ALT. 0 AD'N. C RPL. C MVE. El ~THER
WORK BLD. ❑ PLMB. ❑ MECH. ~ M.H. ❑ POOL ~ • Peau+►b rs o ►~ot& ~
FMoliMed YN❑ NoB
~ DESCRIBE WOAK ShonHnwlFlood Firurd PIrN Requlnd 5L
8
~5i(cr~ -OV-- Wm . TIF-Lol. MoTS-1e' Yeo W Applic.ia Pamtvod Wr
VALUATION ~RCE GAS ELECTRIC WATER SEWAdE ownero+~ FEE8 COLLECTED
9 UTIL~ITIES PR~VSAITCE 0 SSEWER 0 Pubdc C PrNntdjQ
hereby certify that I hwe resd and exemined thla appllcation end have read Ihe "NOTICE' provislona included on
reverse side, and know the same to be true and correct. All provislons oi lawa and ordinorxxe qoverninp thle type of ~i~i~
l wak wNl be complied with whether apeciiled herein or not. The qranting of e permlt doee nof pr~ume to pive au-
~ thaity to violate or cancel the provisiona ot any gMb( 3tete w tocal law regulatinq constructlon or the performence
~ of constructlon. SEE REVE ~DE FOR 0 RE INSPECTIONS ~u'"bi"g
~ SIGNATURE OF APPLICATION f ~h
OWNER OR AGENT OATE ~
~ SPECIAL APPROVALS SPECIAL CO TIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan ChoCk
E-nv HoWtn
SEPA
y , ✓ Planrnnq i " NbOulaf!
MFO. Horr►e
~ Prerent.
' J ✓ Enqlneer a►w ('SPw+h)
~ b
t~~usie~ ~
TOTAL $
SEPA
PEAMIT IS NONTRAN8FERA8LE 1NHEN MACHINE VALIDATED IN THIS SPACE,
~ ~ THIS BECOMES A PERMIT.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
+^0 I N 180 DAY3
~ OATE 13aUED PERMR N0.
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i:~ur~c~ for v~n~tion~ in ~imcnsions ind laation,
..':5 'S ~OR ?`JF4'Z!'.~1;'I0.`J 0'.`~LY '•.;~D .';~)'r ~rliZ',^ `;F ~I~IS TITLE ~:~IIC~;..'lCF,
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SU9JECT: - ~
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~ PROJECT: _~-N - - t
ST Rl! CTURAI. LJ aY
OF
} DESIGN DATE
_
r• ~
Contact-Person Name Cp&A,0~ Bus iness Name vi4lIZ-1 h~WXFIGl
Address rAddress
Phone Phone
Coun[y Contact PersonGp".&,vjA*tz =LDING Yhone No . 456-3600
COtBERMiT ktEV IEW
This building permit review is intended to appraise you of the improvemeiits (roadway, side--
walk, curb, stormwater, etc.) which must be constructed in association with your buildirig
permit. This checklist will be filled out by the Engineer's staff and a copy will be
returned to you at the time that the permit is initialed by Lhe Engineering Department.
All requirements ahall be completed prior to issuance of the building permit. All un-
checked boxea require additional research or information to make a determination.
I. Stormwater Draina$~e, Considerations
Per guidelines tor 'Stormwater Management 1981 " bo zh on and of f si te .
1. 208 Coneiderations* ti Yes ~ No
2. Flood hazard zone considerations** Li Yes ~ No
3. Storm Drainage Plan t~K Yes ~ No
II. Planninu Action #
1. Rezone, Conditional Use or Variance on property Li Yes ~ Nu
2. Are requirements of planning action incorporated ri Yes ~ No
into Bi[e plan
III. Right of Way
1. Does permit necessitate R.O.W. dedication Li Yes No
2. Did zone change require R.O.W. dedication ti Yes No
3. Radius at corner Li Yea ~ No
IV. County Road Improvements
1. Roads need to be improved. How wide Ll Yea [A/ No
2. Curb Li Yes pl`~ No
3. CRP/RID agreement ti Yes t8/ No
4. Plans for improvements provided ti Yes tEll", No
5. Sidewalk ti Yes tEK No
V. Parking Plan b Approach Location
1. Review and sign of f by Traf f ic Ll Yes a - No
2. Approach Permit from Engineer's Office Li Yes L~__ No
3. State or cicy sign off Li Yeb t_t~ No
4. Is this road on 6 Year Plan ti Yes ~ No
VI. Field Review: Yreliminary Coaunents ,
* All land Wicnin the Aquifer Sensitive Area, where deemed feasible by Che (;ounty Eiigi-
neer, shall incorporate stormwater treatmen[ to micigete ttie potential for groundwater
deKradatioil. (See Guidelines for 5tormwater Management 1981, Spokane t3oard of County
Commissioner's Resolution No. 80-1592, as amended.)
Th=.~ jx,rpose ~)f flood hazard zone revfew is to minimize losse5 due [o flouding in spe-
cif ic areas designated by Flood Hazard f3oundary maNs on f t te at the County Enbineer's
Of f ice . (See Spokane Board uf County Commissioner' S 1?~~sul „t ir~rt N~~. $1-U7Zh, a5
amecided. )
,
1__ ~
PLANNUMBER APPLICATION/PERMIT PERMITNUMBE
, SPOKANE COUNTY - DEPAATMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON 1 aPOKANE, WASHINf3TON 992Q0 I(509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STRE~~~E~ PARCEL N0.
1. ~ - ~(~1~ ~ Z 0 5~"z
2. Lor eLdcK sueoiNisIoN LEGAL DESCRIPTION:
,
OW R ON
3. PHONE
~
MAI G A Q p R~ A d w l 9 ~ t B Kc t In FeM b: '
/ ~ NorlA ~ douM I~ I EaM WM
. COgRA~ORC ~ ~ LICENSE EXPIRES ~J~ ''~T ✓ ~~~M I r( ~I~A"~
4 ~iMJ
~ F~l~L~' ' 1 •'L, r'I
Tr°'V '"~1 OON~~'' oY« LPAq'd.
OESI ER 0 fMr UorM. YaluNion fNnq0111d VaIwtbn Total Bldq. Pioor Arm
5. ~ ~ ~~ct.,~'~ ✓/~i
ADO~ ~ ~ M~n Fbp Upp~r Floon Cr~p~! ~ Gnenhouee
4 , CJ_ 7
CHAN(iE OF 63E fROM TO ~ OoN► ON* tlncv. Dodt Fin. Bwrnent Unfin. Bagertient
6,
rb, 9-ar No. Floon Na. Fln Roonr No. owe~linqe
we
TYPE ❑ N W 0 ALT. AD'N, ❑ RPL. ~ MVE.
7. OF BLD. -PLMB. 0 MECH. ~ M.H. C POOL ~ OTHER Cortiri.aEx«not. PAMtond rno NoJK rwwer
WORK avrwne Reoeirao ves C N60 ie
DESCRI WORK Sto►ellnMlFloOd Mat~rd Plan Rsqwred.~
8. ~ ~pqJ rMo rroiAavr~. ❑ ~iwa.er
VALUATION SOURCE GAS EIECTRIC WATER ' SEWAGE/
~ oF Pueuc ~ sE~rlcz~ O""""'~0 FEES COLLECTED
v~
9• UTILITIES PRIVATE = SEWER 7- ~k -33 OTICE"
~
I hereby certlfy that I have read and examined this epplication and have read the 'N provlaiona included on
reverse side, and know the same to be true and correct. All proviaions of lawa and ordlnancee povernlnq thfs type of ~iidi~
work will be comp{ied with whether specified herein or not. The flrantiny af a permit doet not preeume to pive au-
thority to vlolate or cancel the provisiona of any other atate or local law requlatlnq oonstructlon or the performance
of conatructlon. SEE REVERSE SIDE f~ R ED INSPECTIONS Plumbfnq
SIGNATURE OF APPLICATION / P
OWNER OR AGE DATE 6 J~ Mecn.
~
SPECIAL A PROVIILS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Chetk
PHELIM. FI OA
~ Ern. HeWtA
SEPA
Plenninp
X , Moaulwl
Fro K41FG' Home
Rever►t.
~ Erqineer anertsvodhl
Iti~
txmnM
SEPA TOTAL i
'
WHEN MACMINE VALIDATED IN THIS SPACE,
R,,,~ PERMIT IS NONTRAN8FERABLE THIS BECOMES A PERMIT.
r Emn' PERMIT IS NULL ANO VOID IF WORK HAS NOT COMMENCED
bkV IN 180 DAYS
Tah.
DATE ISIIED PERMR N0.
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~ •"b_ (THIS IS N07 A PERMIT)
BUILDiNG PERMIT APPLiCATION WORKSHEET
PI.EASE PRiNT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK
(Please return this onginai and your building.plans to the Oepartment of Buildiny aricl Safetyl
SHADED AHEAS ARE FOR DEPARTMENTAL USE '
PrcjeGt Number 7 z
I CMne+'s Narne LAST FIRST Mi
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t;ity Statef, ~ 2+p Phone
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Oexribe Work . Res. Comm. /
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Subdivision/ Pfa4NsmelSfwrt Plat Number
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Assesaa Paroel Number Lot 81ock Pat NumDer
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DEPARTMENTAL REVIEW -
Cond
Approved Approval FiOId
Environmente) Nealth Perrnit Number
W. 1101 Coltege
Room 200 -
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N 121 Je(terson /
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~ N. 811 Jefferson
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❑ N. 811 Jefterson
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Fast Track/Speclal Inspection Informatlon
Project Representative Phone
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I certify that I havE P.xdmined ihiS dQpl+Cation and state ihat the information contained in it and submitted
by me or my aGer:t is true, correct, leaal, an,y binding
Owner s Signatuie n~tp
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SIGNATURE OF APPLICATION
~ PWNV OR AGENT , DATE
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l1NTUk':F~~:iITY kI) f ~ 0U() :7871 09/04/85 0 0 0 0 '723 (i
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