Sprague E 11526 Domino's Take Out Pizza . . n~ ~ `~rA ~ /r~~~ ~ t~*11 ~ ~ ~r •rr.r•
~ SPOKANE G'OUNTY - DEPARTMENT OF BUILDiNG & SAFETY
NORTH 811 JEFFERSON I 6PGKANE, WASHINdTON ~ I(609) 468-9676
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APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
' S'iREETADORM PARCEL NO ~ ~ ~ I _ n ~
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Lor B~ Z SU801V s oN LEaAL QESCRIPTION ~
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OWNEA. PHONE PHONE 3. 4(d(R (517 MAllIN6ADORESS ° ZIP ACtulM Set Mift in Fifflo ~
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CONTRACTOR~ IICE148EEXPIAES PHONE ~on FABidential~=I
q _,L 1'aCn "s~rS+ '.,'~b 'Z 4cqta %
ADDAESS ZIP ~
a ~T~ QYee CReO'd
OESiGNEH PHONE Nea►C" VWugtlon RemodoW Yaluatlon Total Bidg Ficor Area
5 .F•t"'~~ Ys-4 ~ '~„I~~(~ . ~~~1~~ • `S ~b!)"1505 (zoo LN
ADOR~ P AWn Floor Uppe► Floaa Gerapf Staege Graenhouee
~ j -2 =;L) 4.4r_kA LtZa--7
dHANQE OF USE FROM TO ODMe► De* Unav Dealc Fin 8mement Untin Basenpent
6
No Bmro Fo Fioae No Fln Roorrro IVo Owellings
PE ~ NEW B`ALT 7 AD' N 2 RPL 0 MVE
WORK w~LO' PLMB 2 MECH - M H ~ p00L 0 OTHER ~ ReR~Ured YssCD No91 ~
Reodved YesCI Nor,
DESCRIBE WORK Sh~e!(neelFlood Hecard Rer~1 Requlred
8 h_ „c ~ r ~-6 ~Q ,~y~l~ Yes❑ No! Appllc C Reoeived
WALUATION WURCE Gas ELECTRiC ~eL E o~~ FEES COLLECTED
9 ; uri°Ta~s PRivatE _ sEwEa ~ "IC 0 arivate _
I hereby certily that I have read and exammed thfs apptication and have read the 'NOTICE* provitlone Included on
f8V8t90 91d@, and know Ihe same to be true and carrect All provisions of lawe and ordinances governing thia type ot OWiding
work will be complred wlth whether specilled hereln or not The grenting of a permlt Ooes not presume to give au-
thority to violate or cancel the provisiona ot any other atate or loql law ngulating constructlon or the performence
of canstructlon SEE RalEfl8E 81DE FOR REGUIRE;:~iNSPECTIONB Plumblr~J
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SIGNATUAE4F APPUCATION
OWNER OR AGENT-*-°-1` / DATE ~ ~ ~++sed+
SPECIAL APPROVALS' BPECIAL CONDITIONB: (SEE REYERSE 91DE FOR NOTlCE) 0
FflELIM FINAL DATE Plen (heck
Env HeallA SEPA
~ v+anning ModulBff
MFG HOme
FiR~nt
dGC-~ ~ ~ " _ • ~ ~ / - o"W Oae"!
yEngi'ew
~
Utinries
TOTAL s
SEPA
PEpMIT 18 MONTRANSFERABLE WHEN MACHINE YAIIDATEO IN THlS SPACE,
~ ~ THIB 6ECOMEB A PERMIT
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
swfainq IN 180 DAYS
~ Tech v1 OATEtBSUED PEpM{TWO ' ,
;PLaNNUMeER APPLICATION/PERMIT p~rNUMBEA
1 SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
f NORTN 811 JEFFER80N I SPOKANE* WASMINGTON 99280 I 1609145"875
APPLICANT. COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
t s"WZT AoURESS PaRCELNo
11526 East Sprague Avenue 21541-0707
LoT eLocK , sueoivisIoN LE(3AL DESCRIPTIDN
2 ;
OWNER PMONE PHONE
3 Domino's Pizza
MAILINGAWAESS Zlp ~ to
1149h Fas~ Sprzgw c c~ Nonn (soutn IEaet ( west
CONTRACTOA IICENSE EXPIRES PHONE S~al Paw1 Zoe Gaesiflcalion ~
a Baldwin Signs & Displays, Irlc. 2 4 84 489_9191 t'
qppqESS ZIP TypeO" Oxuparny a Ink ared 4
OYee Oko C]Aeq°d
1511 prthMnEL-P r%tj:eRj 99=
DESIONEA PHONE NewConsl Valuatlon Remadeled Valuetipn Tatal 8100 Ftoa aree
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5 ADDRESS ZIP rt uDDef Ftoe►e GaragelBtaago :20ga n iEJR
CMANGE OF USE FfiOM TO QNWDeck Uncv Deok Fln Basemwt Unlin Basemeni
6
' No BetAs Nc Fiowa k0 Fin Rowns No Owe111rg&
TYPE tXNEW Q ALT C AD' N:1 RPL C MVE
7OF DBLO ^ PLMB 7 MECH M N 0 POOL ~ OTHER Wff i of Exempt p~ired Yes_ Noy NunW
WORK aVarm+oa qwWvW Yss; No'`
DESCii18E VY4AK ShoretlneolFtood Hemvd Plam Requited a
8
Ins}a1_1 D/f7x10 ~o G~on Yee_ rro+AV~~ 7 r+eoeireo -
VALUATIAM ~URCE OAS ELECTRIC WATEp SEWAGE Q~Ip FEES COLLECTEO
~WATE ~ SWECR 1- RiDilo R'lvete 13
g 1900. oo ,T,°~,~
1 hereby certify fhat I have reaC and examined this applfcaNon and have read the'NOTICE' pravlslon9 included on ~
reverse aide, and know the eame to be true and correct All provielons of laws and ordinances powerning this type of Building
work wlll be complied with whelher apecNled herein or not The granting o1 a permlt does not presume to give au•
thority ro violate or cancel the provislans of any olher atate or local law regulating wnsnuction or the perlormance
01 conetruClion SEE REVERSE SI" FOR REQUIREO IN9PECTION8 wumoir~
SIGNATURE OF y'~► ' APPLICATION Mecn
OWNEN OR AGfNT DATE 22 a .6-A SPECIAI APPROYAIS SPECIAL NDITIONS: (SEE REVERSE SIDE FOR NOTICE)
~ Plan C,hmk
PRELIM fINAI QATE
Ern Health
sEPa
Dien*in6 ° ~ Nbdularl
MF'G Mame
Gtre
Prevw, ~ ~ifyti 40 , 00
Erog~~ee► ~ ,
r g!
• ~
UI►Ub~9
TOTAL : 6A +nil-
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE, ~
pkm PERMIT IS NONTRANSPERABLE TMIS BEC4MES A PERMIT
Exw' PERMIT IS NULL ANO VOID iF WORK HAS N0T COMMENCED
~ inp IN 180 DAYS ~ ~ff NO ToIrA
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