Mullan N 422 Day Care Center hrr~~~.w t owe~~ rfonm e t . flow,m,. ~w4w~.,
e Y EP~II~TMENT' oF euiLoi o A . ETY
MOICANE COU1dTY _ D ~ ~
NOR1'H 111 JEFFER80N / SPOKANE. WA8HIN0TON PRIP60 ! (609)158-M FINAL
~ NUMBERED_ SPACES - PRESS HARD TO MAKE 3 COPIES
APPLICA IdT. COMPLETE
srME raoLMws PARCEI N0.
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wak will be oomPI l e d w N h i a WA e r' e p e d i i e d'h e re l n a n o t. T h e g r e n t i n g o f e o e r m l t d o e s i ro! p ree u m e t o g h re e w
tlwr l i y ro vbt et-e a Me p . ronlelare o1 odrer eMte or b c e l f a r r rep u l a t lim o o n a h~O n or t h e pwf a ma nm
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ot oontruction. 8EE fiEYE118E 810E F'OR pEOIIIRED I N S P E C T I O N 9 Plurn,bi"g
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SIGPIATURE OF APPUCATION
R AGENT DATE VAc'
OWNER 0
• BPECIAI APPROVAL8 8PECIAL CONDITIOM8; (9EE REVERSE SIDE FOR NOTICE)
P9on CAwlc -
PRSLIM FINAL DATE
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WMM MACMINE 11AUDATED IN TMI8 SpaCE,
~ PQtMtT 18N0NTRANBFERABLE TMIB 9ECOMF8 A PEtIWIT.
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PERMIT IS WULL AND VO1D {F WORK HAS P10T COMMENCED
IN 180 DAY8
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Contact Person Nacae A7. t IC D :hdhm Buaiaess 1~ae ~ cas CAD
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Addresa Addreee_Al
P~tone ~ t~ Q Pha~ne ~
County Carntact P+ereoa Phane No. 456-3600
COMMERCIAL BUILIIING PERMIT REYYFW
This building permit review is iatended ta appraiee you of the impxovemeate (roadways eide-
wa1k, cucb, stormwater, etc.) whfch muet be canstructed in asaoclation with yaut buildiug
permit. Thie check.liet wi11 be filled out by the Bangineer's staff annd $ copy will be
returaed ta yau $t the time that the permit is initfaled by the 8agineeriag Degartmeat.
All requiremente shall be campleted priar to Isausnce of the buildiAg permtt. All un-
ebecked boxes requ3re additional research ar informstian to make a deterninatioa.
1. Storcnwater DratnageCoaeideratiaae
Per gu~'d'eTf nes .or "$tormwater Managemeat 1981" both an and off e.
, 'I't
, 1. 208 Coneiderationa* Yee E] No
00
s
2. Flovd haaard zone coasideratioas** vyes ~
3. Stacm Draiaage Plan NO
II. P18aniag Actton # ,
1. Rezane, Oornditional FJee or Vari$nce an property ~ Yes ~ Nv
2. Are requirementa a# plaaning actiau iacaeporated ~ Yoo t] NO
into site plan G
III. Right of Way
1. Doee peraait aeceeeitate S.Q.W. dedicatiaa ~ 3~~ En/bb
2. Ui.d xone chaage require R.O.W. dedicatioa [j Yea BooorO
3. Badiue at corner ~ ~~s liloo" No
IV, County R+oad Improvemeate
1. 8oada oeed to be improved. 1iow wide Y~s Fr No
2. Curb ~ Yee lb
3. CRP/AID agreement ~ YeB ~ No
4. Plana Far improvemente provided ~ Yes ~ NO
5. Sidewsllc ~ Yes No
Y. Parking Plan & Approach Locatiaa
NO
0/
1. Review and eign aff by Trsf fic yee WooNo
2. A►ppraaeh Permit fram Eugi.neer' e 4ffice [I Ye~ 3. State ar City eign o#f Ej Yes WHO
VI. Field Review: Preliminarq Commente ,
t Ati land within the Aquifer Sensitive Area, wbere deemed feseible by the County lngi-
I neer, ehall incacporate stoxmwater treatment to mitigate the patential Eor groundwater
degradation. (See Guidelines for Stvrawater Meaa,gement 19$1, Sgokane Bo$rd of CbuntY
Cammiseivner'e Reealutian Cdo. 80-1592, ss amended.)
ZRhe purpoee of flood hazard zone review is ta minimise loeees due to flQoding ia sP$"
Ctf ic areae deeignated by nood Hazard Boundary maps oa f ile et the Caunty Engineec' e
Offlce« (See Sgolcane Baard of Cc}unty Commiaeionerf e Resolutian Na. 81-0726, ae
amended. )
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PLANNUMBER APPLICATION/PERMIT PERMITNUMBER ~•'~g'~ SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON 1 SPOKANE, WASHINOTON 89280 I(509) 468-3875
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES U:: + + 14600
STREEf ADOAESS pARCEI N0. C! C U 0 2_1
1. ~j . 4 ~,~i~Y1 w,,c,~►~ 54'3 - ooo? ~~'nl a~ ~ + a s~
tAr SLoCrt SU801VIg~dw IEGAIDESCRIPTION Sy.3, nr Cy2 aix-tan<.-j kCl1 '
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QWN~NL PHONE ~ , PHONE . O 1 - 83
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MAILING a00AESS ZIP ° 6L17 ~
~ 6A_f~1%3EI gk NWth '2a' Isout, ~Em, ~ want 15a
CONTRACTOR UCENB EXPiRE3 PHONE 81tedPorcal 0 ZoneClaseillcallon ~~p *~l Q O G
°J~l'J1GMVE Vw RN ~4w&~ ~ LGG p•
~A~fiESS Z1P ~ TypeCorot X OooupBncy Spcl er6tl Q ~d
I C1~... ~f R~br ~1 ' OYes Q 4'
OE8IGNER PHONE NewCorat Veluetlan Remodeled Veluatlan TatAl 81dp Frow Ar$a
i. o'`at., M4~vErz q416"3~co u 1~~
ADDqESS ZIP Nlain Floa Upper Ftoora (iarapelStaape Greenrouse r
1'.+toD 41►►nx,}~,ftEaa. 3L.VD. ~•~~~T~bIG. ~31.-*Aj 1
diANGE dF USE fROM T0 GbMDedc Unev Deck Fln eawmenl Unlin Besement ~ 1479
i
No Batne No Ftoore No Fin Roome No Owcfll^08 Qt, * *6 5 0 lJ
FPE LNEW 0 AlT 0 AD' N. 0 RPL D MVE 0 O T H E R O O
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WORK VBLD 0 PLMB. O MECH ❑ M H 0 POOL CwWl emat Poouirea re~ Noo '1~
ReoelvAO YeeO No0
DE8CRI8E WORK Sho►eAneelFiood Hetard Plero Rsqulred V~
3~-DAy CA2fi Cw.veti„ reeo Noiapplk ❑ aeceiYea tY
~ VALUATION SO~UFCE GAS ELECTpIC p~g~IC 9EP~TAC I~ Owmnh'p FEES COLLECTED (a - 1 7.. a 3 .
`QAt~} llTILITIES PRIVATE ❑ SEWEIi ❑ Rmie 0 Prtvele
I hereby certify thet I heve read and examined this eppllcation and have read the "NOTICE" provislona Inciuded on 6479
reverse aide, end know the same to be true and correct Al) provlalona of lawa and ordlnancee poverning thle type of Buiiaing 744-&
work will be complled wlth whether speclfled hereln or no1 The granting of a permlt doea not presume to glve au• ~
ihority fo violate or cancel the provislana of eny other etate ar laal law raguleting constructian or fhe performance
of constructlon SEE REVERSE SIDE FOR RECUIRED INSPECTIONS Plumpin0 ~r
SlGNATUAE OF a Q, ap~% ~ APPLICATION
~ M~ ? • a 3 ~en
OWNEA OR AGENT ~ - r
SPECIAL APPROVALS SPECIAL ONOITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Chock
PHf:LIM FINAL DATE
FJw FWlh ~y
8EPA J r~
Ptennln0 • Q/~ /r~rC. ~Q~/~y /i! ~~AG~~
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TOTAL $
SEPA
• WHEN MACHINE VALIDATED IN TMIS SPACE,
qan3 PEAMIT IS NONTRAN3FERABLE THIS BECOMES A PERMIT
Exw" ~ PERMIT IS NUIL AND VOf01F WORK HAS NOT COMMENCED
, i^g ~ I N 180 OAY3
DATE ISSUEO PERMIT NO TOTAI
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