Sprague E 9807 Doctor's Office Addition
~ PLAN NUMBER APPLICAT ION /PERM tT PERUMNUMBER M~ SPOKAHE COUNTY - DEPARTMENT OF BUILDINQ & SAFETY ,
N4RTH 8f 1 JEFFER80N I SPOKANE, WASHINGTON 992801(509) 458-9815
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APPLICANT COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREETADDpESS PARCEL NO
~ ~~~I -7 e- >,epcVE 100751430
LOr sLoGC SUBDIVISION LEdAL DESCAIPTiON '
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OWNER PHONE PF(pNE oo
3 -Aciluaf
MAIUNGAOORESS 11P ~ ro ~
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CONTRACTOA LI WSE EXPI ES PNONE 6laea! Pa~et CaeiNcaUon 7
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DESIONER PHONE NewCabt Veluallon Pamodeted Yaluaticn Total Bidg Fioor area
5 .r f 5 y~9.; t~~o
ADaRE3S ZIP Main llpW Floore Qarapel8torage Greenhouee
_d41W,A~ c,.~►c~~ ht.&74- SP04*J9. ~'Ar Vz47
6 CHANGE OF U9E FROM AtIA, TQ Oa+er Deok tJncv Deok Fln 8esomenl Umfn Basemenl
No Boro No Floore No Fln Fbana Nc Doellinge
TYPE ❑ NEW 'J ALT K AD' Nr RPL r. MVE
7 WORK ~ BLD 0 PLMB MECH ^ M H ~ POOL ~ OTHER Cwtnl of ExemAt Faqutrad Yesz-- NoC. Nw-ow
aVmlanoe Aeoelved YeeC No"
OESCRIBEWORK AyeV I."u L ShoreNneslFloodHBrwd Plare R"ulredk/ ~
Reoeived C ~
8 'e ~+G,, ,c. n ' o, ` + x• t0 11ea d Not Applic ~
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vAWA~ ~aF~ c~►s EIECTRIC ~LIC~ ~ c~t a"1°f°n'a ~ FEES ~LLECTED
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I herehy oertlfy lhat I Aeve read and exemined thia epplk~tlon and have re~ Ihe'NOTICE" provislona Included on ~ o
reverse side, end know Ihe eeme to be true end corroct All provistone af lawe and oroinances goveming tAis type ot ~liai~
wark will be complied with whether speclfied hereln or not The pranting of e permll does not preaume to give au•
thorlty to violate or cartoei the provlafons of any other etete or local taw repulating conatructlon ar the peHormence „
of conatrucllon SEE pEY E 81DE FOR REGUIR79:7 ON6 ~ ~i"o SIONATURE OF APPLICATION ~n OWNER OR AGENT ~ DATE ~ J -oi SPECIAL APPROVALS SPECIAL CONOITIO :(5EE REVERSE 81DE fOR NOTICE) ~
Plan qhed~
PitELIM FINAL DATE
EM Me0l1h
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Piannirtg Moduler9
MFG Home 31-
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Enginee' .W.~
Uldllle9
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SEPA ~
WHEN MACHINE VALtDATED IN THIS SPACE
plam ; PERMIT 18 NONTRAN6FERABIE THIS BECOMES A PERMIT
EX&" A`" PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCEO
&J''~inn 1 1 1 ~ IN 180 DAYS
iY e DATE ISSUEO PEWMIT NO TOtAt.
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