Empire E 12301 Schlenger Addtn ..a-.......,........ hrrLe%►t% i IVir/ 1'Cnnll 1 ' PEfiMITNUMBER '
SPOKANE COUNTY - DEPARTMENT OF BUILDINQ & SAFETY ,
° NORTH 811 JEFFERSON ! SPOKANE, WASHINGTON 992801(509)468-3876
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
pEU,aoaRess RARCEL NO YL' Q ~
1. 11-: . 123h .
LoT eLocic suBOivisi LEQAL DE8CRIp it? • 'N pL
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OWNER PHGNE PHONE Qp
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MAIUNOAODRE$9 ZIP iYZ615 N.-M (~ne West
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DE91aNER PHONE NewOaM Valuetlon RertWeladValuellon TOtel Blep F►OOr ArGa
5. ADORESS ZIP aiWn Floor mrepBrstaape a~
CH OF USE TO IJnev. Fln 8a~ment ~1 n11n, Bae~nent
No Fln Ro~ne 'No. owenupa
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. N~.Ftoore
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TYPE NEW D AL 0 AO' N D L ❑
7. OF ~ H❑ P ~ 95 c~ran a~n~. Requlred Ymo Noo ~
WORK 8L0 0 PLMB. 0 M H. . ,~y~ Y~o Noo
DESGfi18E WO SAorolUnee He~rd ~ Plsne FOep11ro0 CI
S. YeOq, App11c d Recehrod 0
VALUATION ~~crRic ~ e~ G op"Ih FEE8 COLLECTEO
9. vRwa~ ~ico a~v~te o
I hereby oerilfy thet I have read and examined this appNcation and have read rttie "NOTICE• pravis(one Includea on
reverse side, and know the eame to be true and ~rrect All provlsjons of law$ and ordinances governing this type of ~l~~
work wili be complied with whether specified hetein or not Tht granting of a permit doea not preaume lo pive au-
lhority to violate or cancel the provisiona of any olher etate or locai law regulatlnp canatrucilan or the performence
of con9tructlon SEE REVEASE SIDE FOA REGUtREO INSPECTIONS Pl°"bi"g
~
SIONATURE OF APPLICATION
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OWNER OR AdENT DATE ~ moch
SPECIAL APPq0VAL8 SPECIAL CO OITIONS: (SEE REVERSE SIDE F~OR NOTICE) ~ w~ ~
PA~ FINAL oA~ pN gQo~rAC
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~fteer ouw (sPedN)
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Utuittea
TOTAL i
S6PA 4
WHEN MACHINE VALIDATEO IN THlS SPpCE,
PIM PERMi718 NONTRANSFERABLE THIS BECOMES A PERMIY.
Exa'" PERMIT IS NULL ANOVOID IF WORK HAS NOTCOMMENCED
rwiairg IN 180 QAYS To~ra~
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CounCy ConCaet PerSUti ~z ~0 A~i'h~nr No. 456-36q~
(:OMMEKCtAL tlUILU1Nl; NE[ZM1'!' ltEVlh;W
Ttiie builditig periuit review ib intenJed ta aNprdise yau uf the impruveinc:nti. (rvadway, sidC-
walk, curb, sturmwatrr, etc.) whieh muat br ron5tructed in association with your building
pecmit. This chac.klist wilt be Filled out by the Engineer's s[aff and a copy will be re-
turned to you aC tfle time tltat thz permit is initialed by thr Engiaeering Department. All
requirewente ahal l be completed prior to issuance of the building permit. All unchecked
boxes require additiOnal ree,earch uc information to wdke a determination.
1. Stormwater Drainage Cnnsideretiofls
A. Per gufd"eTinea tor "5'tormwater Management 1981" both on and off ,dite.
~
1. 208 c:ansiderations* ~ Yes ~ NU
2. Flood hazard zone coasideratione** ~ Yes ~ No
3• Storm Dcainage Plan Yes ~ No
II. Planning Action #
1. Rezone, Conditional Use oc Variance on property ~ Yes ~ No
2. Are requiremen[e of planning action incorporated D Yes ~ No
into site plan
YII. Right of Way
l. Does permit necesaitate R.Q.W. dedication ~ Yes ~ No
2. Did zoae change requi re R.O.W. ded icat ion n Yes Ej No
3. Radiue at corner ~ Yes p No
IV. County Road Improvemente
l. Rnade need [o be improved. How wide ~ Yes ~ No
2. Curb D Yes n No
3. CRP/RID agreement (Copy of deed, Asseseor'a micro D Yes E] No
cun, title ceport or legal description required.)
4. Plane for improvemente provided ~ Yes ~ No
5. Sidewalk ~ Yes ~ No
V. Parking plan b Approach Location
~
1. Review and aign off by Traftic ~ Yes ~ No
2. Approach Permit from Engineer'e Office ~ Yes ~ No
3. State or City sign uff ~ Yet. Nu
4. ts this road on 6 Year Plait ~ Yes ~ No
Vt. F'ield Rrview: Ncelimiudry (:otntnents r(~
~ - _
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OrL► ~ sli.ilt tn,t,.i pot-aCv -,lutmw#itt!r tro itmto+ft tt) ml tig4GW the N911[eilt i.il tot grouiidw.atta
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