SPRAGUE E 7415 ELJAY OIL CO DISPLAY ~ `l `Di 1 `I • ~ _ f I \G t..+' -
BUILDING PERMIT APPLICATION WORKSHEET
/ PLEASE PRINT AND COMPLETe ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND (Please return this orig(nal and your building plans to the Department of Buildiny and Safety)
1 Owner's Name (last) (tlrst) (m) peWment Use Only
ELJAY Oi.l Company Pes. ~Comm
2 Project Address (not Mailinp Addresa) ar Road Name Space Zip
E. 7415 Sprakue Avenue 99206
3 CitylCommunity State SubdivisionlPlat Name
Spokane WA
4 As,9esaor Paroel No. Lot Block
DEPAR7MENT USE ONLY
2 ~
~
5 Sic Code ne Act. M Zone Projecl No.
.6 Dwell M I No. ot Buildings Sq. Ft.lAcre Depth Frontage
7 Set 8ack-Front (L)S-1 (R)S-2 Rear Census Tract Module No. IniUals
* 16 Architect Firm Namo Street Address *
Zip Gty State Phone
( )
Contact Person Phone If different than above
l )
Contractor Flrm Name Street Addreas
Tri-State Sign Co., Tnc. N. 619 Napa
Zlp Gty Stete Phone 99202 Spokane WA ( 509 ) 535-7724
Contact Person Lfcenae No. Phone If different than above
Orlyn Via-esaa TRISTS*25706
8 OwnerlAgent (Ii dlfferent than 01 above) Business Address
9 Zip City State Phone
( )
,
12 Revfew Required Plan Check (Y/N) Other (YIN) SEPA Exempt (YlN) Date
15 Type Work O Bldg Ci MH Ct New O Replace V Other
O Flre 0 psmo [I Addl Alter ^ Move S J Rn-W
14 Describe Work
Tn~,- 'al 1 91 di snl av Qn exi stinQ 10~t gj=
~
10 Appt(cant Name Street Address
11 Z1p City State Phone
* Lender Street Address *
ZIp City State Phone
( 1
Contact Person Phone if dlfferent than above
1 1
Additional Informatfon
~
C
.a ;
~
a'
DEPARTMENT APPRQlfr4LS
~ 1`his is nv~ a Permit
AppricatiQn -ryps . .
(Sfandard unless (Ind icateci approvais requ irect in either re[ease" ar °release uvi#h canditions"
afherwiae irrdicated} spaceprior to permit issuance.)
- F] Fas! TraCk
Early Start Release
Release wicanc# 1 IHold 2
~ --Environmentsi Health Commerclal; Residerrti~f - -
LN. 1101 CoIlege ~7 New Cons#ructirsn; C`I B Pdg alteration fadditFOn
Raorrr 200 D Additlonal SEruCture,
APPLICATfQN #
Cond i k fons 1 Corn men ts:
. . ~ -
El Plar+ning lZonlng: ❑ Commercial; 0 Cer#, of Exemption; ❑ Fran#age;
, N. 721 Jefferson C7 Setbacks; a lot wld; J lot sfze; ❑ uselaona;
. D CU, variance, zone change; shoreline; El fence;
Ca Qther
Condit`ons fCornrraents: )Q,~.. \n,1... P-'A~17.cC~f.~
, " •r C~....rl,~.+y~ ~ i ~`s V~-~+[.~~,~. -~1--~~.~. c.,..~sc 1~. ~ ~a.Al~'~, ~ f ~ ~L~ ~2~.
. _ _ ~ ~
~ Englneera: ❑ Cornmercial; CJ Residen#ial; 0 Flaod Plain;
N.811 Jefiferson C7 drafnage ❑ newaccesslapproach; CJ fence;
E 1 raacP improvernents
C.onditions I Corn me n ts:
~ Utilf#les:
N. 811 Jefferson
Cortdi tions! Com rrtients:
O#her: J ~
~
El RIan Exam . . ~
fire Prev.
~
CandftionsJ CorfrmenES:
~
c
~'0 Project Represen#ative
- Telephone ~
c~i' l Agencies Perfvrming Special Inspectlan:
ua
Jc o •
ri _
~ ra
~ E 2. `
to ~
3.
1Indica#e sbove or $1tach condltipn3 reiative to final ss buil# $ppraval
2 fndiCate above vr altach reasarrs for hald
\ Q
•
, _ (lI
\1A - ~
IN
~ ~ ~ • iT•« u 1." rt. l_ ( ~ ~ 41~1 l
~ • ~ ,~T : ~ 4= ° ~o F.~..~ - , ! t
b v
~'2.v~~~~ I~I~L• j3e
► -?'79 Z: -0 1--~v ~ t•~J
~
t'
~ ~ . -l. .
. c~
i
~_.._~..a........ ~
~
, •
~Li) '
i
Tv B e.
; . ,
G--
,