SPRAGUE E 6303 STAR STEEL OFFICE ADDN PLAN NUMBER ArrL IGAT ION / PEFiillt IT PERMIT NUMBER ~ i
SPOKANE COUHTY - DEPARTMENT OF BUILDINQ & SAFETY
NORTH 811 JEFFERSON ! SPOKANE, WASHINGTON 99280 I(509) 458•3875
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES r
STREET ADDfiESS PARCEL N0.
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2 LoT eLocK susoivisinN LEGAL DESCRIPTION: y5 i 1~~ F
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MAILING AODRESS ZIp n to-
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CONTR PCTQR. LICENSf EXPIRES PHONE Slm d Peroel ~ y2ane fipt~ ~JQ
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AOORESS _ 21P Type ` Oocu~ ~Mclarod
N oYa ONo Owo'a
DE GNER ~~E ~A~ New(bnel Vmwtlon Rortadelod Vduaiton Tot~l BICp F loor nrea
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AOORES Main FFopr UpW ~ Cert~pglStape t3reenAOUee
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6CHANGE OF USE FROM ~ TO Oow► Oadc Uncv Oeck Fln. B~ment UMIn Baaement
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ra eMM No Fbors Ho. Fln Aoas No. Oviellirqi
OFPE ~ NEW ❑ ALT ~D' N ❑ RPL, C? MVE. ~ QTHER WORK LD Q PLMB 0 MECN ❑ M H ❑ POOL Certd► dExempt ReQutrod va0 troC ►~hxnber
aVeneroe pa*yw YeeO 114017
DESCHI9E WORK ,I SwrelinslFbod Hazsrd Plane Required.C
8. Cr A%-0k9 Z Ntp ~ Yeee t~t ~ic ~ Feo.+vea
2&LZ VALUAT 10N SOURCE GAS ELECTRIC WATEA SEWAG q„~~lp
9 OF Pl►BUC SEPTIC ~ p~~,ate~ FEES COIIECTED
UTILITIES PRIVATE 0 SEWER
I hereby oertlly that I have read and examined this applicatlon and have read the "NOTICE' provlslone Included on
reveros aide, and know the same to be true and correct. All prowsions ot laws and ordinances pavernlnp ihis type of Building
work wlll be complied with whether specified hereln or not. The granting of a permit Coes not presume to give au-
thorlty to vlolaie or cancel the provislons of any other state or local law regulating conatructlon or tAe pertormance
of constructlon. SEE REVERSE SIpE i0A RCOUTAEp INSPECTIONS Plumbinp
SIGNATURE OF APPLiCATION
OWNER OR AGENT DATE Mecn
SPECIAL APPROVAIS ' PECIAL CONDITIONS: (SEE REVERSE S10E FOA NOTICE)
Plen Checlc
PRELIM FINAL DATE
Em Mealth
SEPA
Planning
Modular!
MFG Home
F4
d
pfevem O
En°iOlher (Specify) v
Uanles ~
TOTAL $
SEPA
PUM PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT.
Exam
PERMIT IS NUII ANO VOID IF WORK HAS NOT COMMENCED
Building ' 1% IN 180 DAYS
DA?E ISSIJEO FERMIT N0. TC'' Al
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