Argonne N 1330 Millwood Furniture Sign
~ , ~ • .
BUILOING PERMIT APPLICATION W RKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
(Please return this orfglnel and your buitdfng ptans to the Qepartment of Building and Safety)
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1-7 ~j4^2..^ ~e~o o4~ o.3 t t w OEPAFiTMENTUSEQNLY
3. S Sk Code Zcm Act / mne i4roject No
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7 Se! 8adk-Ftont (L*1 OR}8-2 Rear Qxraus Traet Module No
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14 Osscribe Work
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DEPARTMENT APPROVALS .t
This is not a Permit ~
Appltcation Type
(Standard unfesa .
(Indicated approvals requlred in either "releass* or .release wltA conditions°
otherwise Indicrated) spac.~e prfor to permit issuence ) ^
❑ Fast Tfack '
Early 3tart Release `
Release w/cond 1 HOId 2
0'
Environmental HeaIth C7 Commercial, O Residential
W 1101 College U New Constructfon, (i 81dg alteratlon /addltion
Room 200 O Additional 9tructure.
APPLICATION M
Condltions! Comments
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~ PlanninglZoning e"Commorcial, O Cert of Exemptfon, D Frontage,
N 721 Jefferson ia Setbacks, 0 lot wld, 0 lot sl2e, ❑ uselmne,
Q CU, variance, zone change, ahorsline, O fence,
• Other
ConditlonslComments ~4~ ~ ~d . w
Uo En8lneero WCommorcial, 0 ResldenHal; C] Flood Pialn.
N 811 Jeiterson ❑ drainage Cl new acoess/approach, O fence,
0 raad improvements
CondltlonslComments ~~6,09'lau c T *?s N~T 7~0
b~ .Le cATge c! Jnr ZSAd?~7
uuuues ,
N 811 Jeitereon ~
Condltlons/Comments
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'Plan Exam
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CondltlonslComments
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y Telephone
N Agencies Performing Spedel Inspectlon
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i nnunnatr+ AFOPOLIGA I I(JN/ MKMI I PERMITNUMBE
SPQKAHE COUNTY - DEPAATMENT OF BUILDING & SAFETY F JN AL
NORTH 811 JEFFERSON I SPOKANE, WASHIN3tON 992801(608) 45698ffg
APPLICANT COMPLETE NUM8ERE0 SPACES - PRESS HARD TO MAKE 3 COPIES
,
P9RCEI NO
O ru NS~;~ / 75 ~`7~.~ » t~--~-` 3
Lor eLxK susoi4~ LEaAL DESCRIPTION,~ , ~
2 ~t,p,~ T/~ r~c~. _ 3 33
dWNER PHONE PFIONE
3 1 ! ..ac.s~~A 'V , I RPwf~ure E
MAll1N(i AOOflESS ZIP ~ ~e ~
~j tJ ~y NorM I South ~ Ent ~ Weg
CONTRACTOfl LICENSE EXPIRES PHONE Sim Of pal ZoneClmlllcef~pn p~~W
q : , : 1~,. ~ ?2 lc~~l l~c~~+r~s c~""e~W ~
aDaRess ~ np Trae~ ~ ~ Dt~m ~aea,a
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OESIGNER PHONE Naw0aft,Valualfon Rerlpd~edVeluaUon ToteF6Mr- FloorArea
5 8'1 -Z~ 5z)0
AOpaESS ZIP Mdn Flaa Upper Floora GerapelStorape Grear+iouae
6 CHANCEOFUSEFAOM TO 1 Oow 0ea lMv Oedc Fln Basament Unfin Besement
NPE 't NE No eams No Ftoore No Fln Rooma Ne Dwelllnpe
y(:ALT ~ AD'N ~ RPL 0 MVE _
7. WORK ~ 8LD L PLMB 0 MECH 0 M H ❑ POOL ~E ~ OerNl empt ~ul►ed YeaCl No~! ~vumber orVhriwm RaoWved reeC NdW
QESCp18E WOpK OiJE (tj lC StwreltneelFlOOd Haiard PWro Requlted 14
8~~' C~.I l~~ C' iTE ~~~~o' ~r a reeo ft Avvik f111i Aaoenrea ia
'iAIUATION s oF~ GA9 ~.EC~iC ~ F ownerat►jp FEES COLLECTED
9 UTIIITIES PAIVATE C SEWER ~ a PrNate 3.
I hereby certlfy that I have read and examfned this application and have read the "NOTICE" provlaiona Induded on
reverse 9rde, and know the same to be true and correct All provislons ot lawa and ardinance9 gaverning thle type of e„iminq
work wlll De complled with whether apeclfied herein or not The granting oi a permit does not presume to give au-
thonty to violate or cancel the provislons of any aiher state or locel law regulating construction or 1he performance
a1 conetructlon SEE REYERSE SIDE FOR REOUIRED INSPECTIONS wumoinp ;
SIGNATURE OF APPLICATION
OWNER OA AGENT 44 OATE Mech
SPEC{Al APPAOVALS SPECIAL CONDITION6: (SEE REVERSE SIDE FOR NO71CE)
Plon Check
PqQIM FINAI OATE
Env HeBlth
SEPA
Planning V.0_- ModUletl
~LR cd1131.~► `~,y;'C MFO Home
Flre
arevsnt
Enqineer ottw owfi►l
~
UIIIi21e1
TOTAL s
SEPA
WMEN MACNINE VALIDATED IN TH1S SPACE
PERMIT 18 NONTRAN8FERA8LE THIS BECOMES A PERMIT
Eu" PERMIT IS NULL AND V010 IF WORK HAS NOT COMMENCEO
~"g ~ IN 180 DAYS
Di4TE iSSUEO PERMIT NO
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