Sprague E 12606 Pay N' Pak - Sign
BUILD!NG PERMIT APPLICATION 1NOAKSHEET
~ PLEASE RRl NT A,NQ CflAAPLETE ONLY THClSE RARTS OF THE FORM YpU UNDERSTAIVD ~
~
4r 04esse relurn lhfa ortpinal and your laullding plarl8 to the Department of lBuNdjng and SaWY)
1~wr~er s l~ii~ pa~~y tf Irs~ ~ (m) C~p~aAment t1~r Qr~lr
F~ B Y ' N P a k
2 Fr'GJeG Adq[e~ (nOi ~1f►y +~lddrea~i ct iLSUd Mame
E. 12606 Soraaue
3 CJtyfOWmrnwnlty STata SuE+dTvlslnnJPnei FJama
S'Qdk@Ir1£ WA.
1 A0edoW PNEW MO l.at EuDCk
aEPaRTMENTUSE OiVLY
~
5 ren. zone Prajeet Na
. r is Owrfl0 Nn a} 8ulldinps $q F! IAare Dwh fronlaQs
7 80 B.dwFront (LO-i (RyS-2 IReL O61131u Traal Moduis tnit~ls
~ 18 ^fthitsd F4rm Harrre Strari #
Hea th Nor th~re s t, Ir~c. 411 Sprague
,
ao C~ry Suste phme
99202 , Spokaael WA►. ( 509)455-8666
Cbrfti Pwwn R'hou+e It dl "k thon abov8
Ghuck Ne 3. son r a
~ntraciar Fi n. ~ Stredr•••drom •
. ~
~ Zip Ci'y ' ~ate Pho~n9
caelW F+erW ' uoersee "tr difterW them a4b"
~ H sth N3 3i?ItJ ( M
~
a OwrW1AVvM(It di W 11t abow) Bo9nms Addr=
" 9 ,aR C11y Siate Phoft
t ~
~..r~ ~ .
{YIAI} (?iher {Y!N} BEPAExempt (YFN) Qeta
12 Fieyfsw RaqWred R~
98/
tB TYPe Vftr~ 0 eud9 C3 MH '7 Flew P ReRl4e ❑ QtlW
l', Ftre 13 Oerlto Add tAitet 'n MOtra
4 Oowibe Work
Installa on of Signs - Valmation S10,000
iG Appllc~nt Nme Street Addreea
tT Zip CJ1y State Ahom
1 ~
~ E~ender i ~ Slreei Addraea A •
Zlp Oty Siade RMRa
i f
Cor+raci ri*Mn ' Phwe ir drHerern lran anm
4 ~
adanloro intornWtan
Y~ J ~ 1 ~
i
DEPARTMENT IAPPROVALS
~~=T 7hts rs not a Permit
Appllca#ion Type
A (Startc,fard unlesa (Indfcated approvals repuired In eithur "release" ar "release with conditians'
I ~ athwwise Indtcated) spar.e prlar ta permit Issuarrce
Fas! Track
Earty start R~te~se
, Rele$Se wlcand 1 ~ Hoid 2
0' ~
Ecrvironmentsl Heslth E3 Cornmerclal; t+ Residenttal
VY 1101 Golle9e 17~ NoW Construcllon, ij Bldg alteratian laddltion
Rovrn 200 0 Additlonal s#ructure,
APPI.ICATION 0
CondiifanslCamments
El P[arinlno/Yoning p Comm$roial. Q Cert of Exemptton, ❑ Frontaet
N 727 Jetlerson 0 Setbacks. C7 lo# wld, 0 fot aixs, Q uselzorte;
Q CU, variance, zone chartge, sharellne, CJ lerioe,
* Othef
C+ondltfonglComments (-.z t
❑ - ~ ~
Enqlneers• C7 Cammercial, 0 Ftesidential; O Flaod plarn,
~
N. 811 .fefferson adralrlage C7 new &cceaslappraach, C) fenCaey
[7 road lnlprpvemer►ts
Cor►cfiifaltslCamment$:
El U#~Ittlea.
N Bl1 Jef#erson
CondJtlonslGomntents
.
El CltErer.
~
Q Plen Exam ~
Firs Rrev.
Corcdftlarea J Camments
a
~
Project Represenlative Telephane
~ Agencles Pariormtng Special Inspectlon
r
q
f. ~ L
N. ~
3
1 Indkoto above vr atllamh cornditlans nfnilvs to Itnef ee built approral
2 lndlcaie above vr attnch reasans tor ha10