Sprague E 15808 Restaurant Remodel
PLAN NUMBER APPLICATION/PERMIT ~ PERMITr
SPOKANE COUHTY - DEPARTMENT OF BUILDING & SAFETY '
~ NORTH 811 JEFFERSON ! SPOKANE, WASHINOTON 99280 /(508)468•98t5
APPLICANT COMPLETE NUMBERED SPACES - PRESS HAAD TO MAKE 3 COPIES
1. STREET ~j ADDR ~
~a ~ PARCEL NO ,~"Q. ~1~e,'~ o
T ~ ~ o
2 eLac~c sueoIyIsIoN LEGAL DESCRIPTION .r „ t
3. !?Rr
MAllINOA09RESS Adusl Se16eft In Feet !o ~
P1 :P 9V?14"GD Honn Isoum wkm
CQK~l. Parcel a~ aAcpoR LICENSE EXPIRES ~ s~~~'X ~ u°" ~+~n~ a
lv C e7 - ~ c~ , a~ei e~
~AOQRES$, ZIP Typome [IYee Q~~ OFiep'd
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OESIGINER PNONE NmOonet Viluallal RenmdAMOVelu8110n TOtalBldp FIOOtAree
5 ADDRESS ZIP MoU►Ftoor UpperFloom GerepelStorege OreenAowe
S CHANGE OF USE FHOM TO Owor Oedk IJ+W Deck Fln Baseme+t tfiiln 8aeemenl
° No 9dft No Floore No Fln Roonu No Owdllnp
TYPE CI NEW eALT ❑ AD' N 0 RPL 0 MVE
7
WOAK "LD 0 PIMB ❑ MECH ~ M H p pppL ~ OTHER OWIli6onpt Requirod Yee[3 Noo Numeer
orVartom ~ Reoeir60 Yae❑ Nor _
8 QE IBE WOpIS L,~ f Y~f nee►Not AAP~Q ~ AeRequired oelved 0,
i~ 1
VA4UATION SOURCE (3AS ELECTRIC WAT SEYVAOE p~~p
9.` F" - • UTIUTIES Pp~ ~ ~ q,ak o p"v,m,er FEES COLLECTED
i hereby certify tnat I have read and examined thls application and have re$d the "NOTICE" provle(ona included on
►everse side and know the same to be true and correct All provisians of lawa and ordinances governing this type of ~ilai~
work will be complfed with whether speclHed herein or not The granting of a permlt does not presume to give au-
lhority to violafe or cancel the provisions of any other state or local lew regulating construction or the performance
of construction SEE REVERSE SIDE FOA REOUIREO INSPECTIONS Plum0lnp
SiGNATURE OF ~ ' C 2 ~ CATION ~
~ _ ~ ~ ~~'~-t~'"" •
OWNEA C1R AGENT OATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
ELI I A ~ Env HBdllh
S
Pia,n,nQ ~ ~ 77 ~SEPA
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1. ire . ~
?I'QV@n1 • ~ ~ Engu+ee Otlbr (6D@WtY)
UINNies
TOTAL s
SEPA VALIDA q, PERMIT IS NONTRANSFERABLE HMS B COMES A PERM TTED IN THIS SPACE,
~ Exa"' PERMIT IS NUII ANO VOID IF WORK HAS NOT COMMENCEO
Daflding F # j, IN 180 DAYS
Tach - ~ oATE iasM vEaMrr No