Sprague E 11204 JB's Big Boy
PLAN NUMBEA APPL ICAT ION / PER M IT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 11t JEFFER80N / SPOKANE, WASNINOTON 99M 1(509) 4WW6
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARO TO MAKE 3 COPIES
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laT B~cK suBOtvisa~ LEaAI DE8CRIPTION•
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qppp0g ZIP Mltn Fbor Upper Ftoae QatopelSDorape 6roenhoWe
CHANdE Of USE FROM TO OaerOadt unnr Dedt Ftn Balement UMIn Boment
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QES 18E YYORK SooMAI01Fiood M~d Ptm RapuIrdQt/
reea Nwapqx a Reoa+%va ~U
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9. ireeN ~ FEES COLLECTED
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I hereby oertlfy thet I have rea0 and examine0 Mie eppllcation and havs read the "NOTICE' pravielone Induded on
reverw slde, end know the same to be true and aorrect All provlalona of tawe end ordlnarces gaveminA tAle type of ~o~ ~
work will be complied with wAether apeclffed hereln or nol The granting of a permlt doee not presume to give au-
thority to violate or cancel the ;rov tona of any otAer state or local law reguleting oonetructfon or tAe perbrmance
af conatruation 8EE REV E E FOR REQUIRED I PECTIONB Plo'Mo
SIGNATURE OF APPLIGAT►ON
511 OWNER OR AOENT
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SPECIAL APPROVALS SPE l CONORION8: (SEE REYERSE SIDE FOR NOTICE) Plo Check 90
PRELIM FINAL QATE G ' ` I + ~ ~ • Z Z•3 ~ V~ ~ ~
6n► Meellh
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Fbe 0
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TOTAL $ 7?
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8EPA
WNEN MACNINE VALIDATED IN TN1S BPACE,
Pt" PEpMR 18 NONTRANBFERASLE THIS 9ECOME8 A PERMIT.
PERMIT 19 NULL AND VOID IF WORK HAS NOT COMMENCED
T~ IN 180 DAY9 aTEISUM PErJWff NO TWu
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, Contact Persan Name , Cgjt17"15A CO, Hueine8s Neme
AddreBe Addrees I-Z OL~ t./
Phone w► 60L - 4q -6 o zl Fhone 0,2 b- To 7o
County Contact Pereon Phoae No. 456-3600
+C4M M CI,AL BUII.DING PERMIT REVIEW
This building permit reaiew is tatended to appraiee you of the improrremente (raadway, side-
walk, curb, staacmwater, etc. )which must be coQetructed in aseaciation wirh yaur buildia,g
permit. This checkliet will be filled out by the ft,gineer'e staff aAd acapy will be
returned to you at the timee that the permit ie inttialed by the Rnginaering Degartmsnt.
All requirements ehall be completed priar to iaeuance of the buildiAg germit. A11 ua-
checked bvsee require additianal reeearch or infarmation ta make a determimation«
I, Stormwater Draina e Coneideratione
'A. Per gufaellu+eor "$tormWater Management 1981" both va and off site.
a , A
1. 208 Coneiderations* ~ Yee E] mv2. Flood hazard zone coaeideratiane** ~ Yes Ll
,
3. 3torm Drainage PIan Yes ~
II. Planning Action #
1. Bezone, Conditional U$e or Yariance on prnperty Yee ~ No
2. Are requirementa af plananiag action irtcatporsted ~ Y$s No
into site plan
III. Sight of Way
14 Daes permit aecegsitate R.O.W. dedicatian El Y~ 0 No
2. Did zons chaoge require R.O.W. dedicatioa ~ Ye E] Na
3. Hadlue at coraec ~ YO ND
IV. Cownt y R,aad Improvement s
1. Rosda need to be #.mproved. How Wide ~ ea No
2. G'urb ~ yes ND
3. CBF/SID agreement Yoe NO
4. Flane far improvemente provided xee ~ x'o
5. Sidewalk Yee ~ I+1a
V, p$rking plan & Appraech Loc$tion
1. Review aad eign of € by Traf ff c ~ Yee ~ No
2. Approach Permtt fram Faagineer'e Of#ice L] Yee ~ Na
3. State or City sign off ~ Yes N°
VI. gield Review: Preliminary Ca1qom+ente//0 G/09
45
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* All lend within the Aquffer Senaitive Ares, whete deemed feaaible bp the County Engi=
neer, shall iAeorporate stormwater treatment to mitigate the patenttal for groundwater
degradati4a. (See Guidellnee for Stormwater Management 198I0 Spokane Bvard of County
Commiesioner' e Reeolution No. 80-1592. es amended. )
T'he purpaee of Fload hazard zone review is to minimize lossee due to floodiag in spe-
ciEie area8 designated by Flvod Hazard Boundary wapa on file at the County En,gin$er s
Office. (See Spokane Baard of County Commiesioner'e Resolution No. $1-01269 ae
amend ed . )
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