Sprague E 16624 Cover for Saw
(THIS IS NOT A PERMIT)
° BUILDING PERMIT APPLICATION WORKSHEET
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' PLEASE PRINT ANO COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNOERSTAND
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~ COMPIETE IN INK
(Piease return this original and your building plans to fAe Department of 8uilding and Safety)
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SHAOED AREAS ARE FOA OEPARTMENTAL USE ,
ProJetl Numper
~ Owner e pame LAST Flq$T MI ,
S~ E w A 2-r -~A., c ~
RoteCt AttOress (Street Nan+e Q NumOer► ZiD
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Sp. (yv
City State ZIp Phane
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9usiness Phantt
1 1
Ccnlractcrt Agent Adaress
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Crty / State 2ip Prtone
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Contact L,cense Number (Reawred) Business Ptwne
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Arcn►tectl Enainee► ' Address
Gtr B Stace Zip Pnana
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Goniau 8usiness PhoRe
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Lenoer , Aadress
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Gtr ~ State Zlp Pnone .
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Omwlbs Wbik Re,s, ~ ~ .
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SubdivislonlPlaLtismelSliort Plat NantOer
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Assmor oaroe! NumDer Lo! 8todc Ptat NumDer
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fttinent Flte NuMDets • ~ + zww Comp Plart Ceneus Tact
1/-~ ~ c~mnr► Number d OwMI1nQ Unfts NumDar ot Buitdlnps La! Siaa M FL/Aero) Oepth - Fronue t~" .
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s~ dirp~' ~n DM Group ` . Type
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~ QEPARTMENTAL REVIEW
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> Approv q proval Hald
Environmantat iNeallh
Permit Number
1 W 1101 College ,
i Room 200
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f ~ Planning/Zoning
~ N 721 Jetlerson
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041,10 ~
z - ~,•l_4tc / ~ l~c.-
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Engineera Permit Number
' N 811 Jefterson
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Utilities
❑ N 811 Jelterson
Plen Review/ Fire Preventton
N 811 Jettefson AIA iLjX&GC A-T- -TW_f__AfiLt 4r,6e2v1E-nE,~_ •q~~¢ny~
sut r'r To ¢jgt~i~tt=cne~u. Que usuic WatL Y2~ zno ~r pr i~ -t1re- ALt.EV i.% A• ~A
,c 'tl/LJ~f SET BA~ b~1~ B@ I3ficm+ w~t -t}a~ ntwrrtRt .P dtt ty A~►fD "{')it di,lC Mo1LL A Q~'iCasS[tri~L
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WotL " pE DEtt.'TF1> - ~
Olher (SEPA/CrItlcal Meterial/etc ) I I
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Ef Fest Track/Speclel Inspection Informatlon
Projec$Aepresentatjve Phone
Address
I ~certrty that I have examined this application and state that the intormation contained in it and submitted
by Te or my agent is true, correct, legal, and btnding
Owner's Signature Date
Corrsrrr.ack Rerson Name _ Business A1ame ~.9ver 7''-r,~l,f;~
Addresa Addrese_,g!~F- /g~6' 2 ¢ r~ ~
Phone Phone
4Z
CountY Contact Pecson Phone No. 45 0 at
COtrQr1ERCIAL BUILDING PERMIT BEVIEW
This building permit review is intended to eppraise you of the improvements (coadway, side-
walk, curb, stormwater, etc.) which must be coastructed in associa[ion with qour building
permit. This checklist will be filled out by the Engineer's staff aad a copy will be re-
turned to you at the time that the permit is ini tialed by the Engineering Departmen[. A11
requirements shall be completed prior to issuaace of the building permit. All unchecked
boxes cequire additional research or inforanation to aske a determination.
I. Stormwater Draina e Coneideratione
A. fer gufdeLfneor 'Stormwater Management 1981" both on and off site.
1. 208 Considerattona* ~ Yes tj No
2. Flood tazard zone considerations** a Yes PI No
3. Storm Drainage Plan ~ Yes Li No
H. Planning Action #
1. Plat, short plat, rezone, Conditional Use or Variance ~ Yes ti No
on property. Planning Number
2. Are requiremente of planning ection incorporated ~ Yes Li No
i nto site plan
III. Rsht of Way
1. Doea permit necessitate R.O.W. dedication ~ Yes ti No
2. Did zone change require R.O.W. dedicatioa a Yes Li No
3. Radiua at corner a Yes ri No
I V. County Road Improvements
l. Roade need to be improved. How wide p Yes Li No
2. Curb ~ Yes Li No
3. CRP/RID agreement (Copy of deed, contract, or a Yes Li No
title report required.)
4. Plans for improvemeate provided ~ Yes p No
5. Sidewalk ~ Yes p No
V. Parking Plan b Approach Location
1. Review aad Aign of f by Tref f i c ~ Yes ~ No
2. Approach Pecmit from Engineer'a Office ~ Yes ~ No
3. State or Ci ty si gn of f ~ Yes ~ No
4. Ie thi s road on 6 Yea r Plan a Yes a No
VI. ULID Agreement: Li Yes Li No
VII. Field Review: Preliminary Comments
* A11 land wi cni n the Aqui Eer Sensi tt ve Area, where deemed feasible by the County Engi-
neer, shatl incorpora[P stocmwater trea[ment En mittgate the potential for groundwater
degradation. (See Gtitdelines far Stormwater Matiagement 1981, Spokane Bqard of Caunty
Commisstonpr's Regolutinn No. 80-1592, as amended.)
7'he purpnse of f l.nod haxacd zane revtew is to mi nimi zz losses due to F loading tn sne-
c:l f t c arNas dv+itgnaC#-d hy Flond 1{azard Aosindary maps on f i le aC the Cc)tinty Engtneer's
c)t f Ice. (Srat- Spokane i3o,4rd at Cc)nnty G)mmissioner's Resolution No. 81-0726, as
amp-ncle(l. )
H/Ll/K5
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Show on Site Pian AOditfonal (nfo~matfon I
, ~ ~ ~ lot Oi~n°~nston'~ L~ndsca in ~ , A 9 ~ , , ~
Existin Structures Dralna e I ~ - • _ ~ . _ , t I ~ - • 8 g P an , ~ , ,
Pro sed Im rovementa H drani _ - E ~ ~ a~ a r : _ w~. ~ . , , , _ _ ~ _ _ , . _ . y _ ~
Structure SetQack: Topagraphy ,
Ea:ementa Ughting - ~ - - - - - t- _ , ~ Se iic S:tem : SI na e ~ ~ P Y (1 9 9 ~ _ _ _ _ _ 1
Water l(nes Shorelines .
I Sewer Unes HI hwa r • - ~ g te Mark
Fencet, Weils _ _ _ _ _ _ ~
~ 0~)yeway~a) - - - i . . _ _ ~ - - - • - ~ l ~
RigM ol Way Width(a) ~ - , ° _ , 7 ' , ~ Names of , 0 4 ,
_ ~ i n Frontin Street ~ ~ r _ fr 9
. ~ - ~ v _ Fianking Slreet
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