BROADWAY E 5507 GEORGE WARDEN POLE SIGN PLAN NuMgF=R APPL ICAT ION / PERM IT PERMIT NUMB
SPOKANE COUNTY - DEPARTMENT OF 6UILDING & SAFETY
NORTH S11 JEFFERSON 18POKANE, WASHINOTON 992601(509) 45B-3675
, n APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
' STREETADORESS PARCEL N0.
5 50 -7 f Li 53
LoT eLocK suB i ~o V LEGAL DESCRIPTION: .
2.9- 1z 5 til~ . L_ I a'i (3 5.~- v a.x, V
' NER ~ ' f►H HONE C~ - ~ ~
1
MAILING AD ZIP Adual Set kiaCks In Feet to:
5 5n North I South I F.wt I 1Nwt
NTRACTOR , LICE PIR S PH NE Sl~e d Proel aei~iqtion pM;~tyl ;
4. a -5 ~o~ ~
ADDRESS
r- Y. El No ❑Req'd.
_:-3i C~ O z ' • `'--Yl~ ~J 2-0-7 TYDaQontt. Oocupincy $prinklered
DESIGNER PHONE Nbw0onet• Valwtion AemoOMed Vuwhon Tolil 81dg Hoor Area
5. •
ADDRESS ZIP M1ein Floa Upper Floors GenpafStoraqe Greenhouse
CHANGE OF USE FROM TO Ower Dedc Urcv. Oedc Fin. Baaement Unhn Basement
6.
NPE ONNEW 0 ALT. C AO' N, ~ RPL. ❑ MVE. , N°' e~tns No' Floo~a No. Fin. Rooms I~lo. Dwellirps
7. OF ❑ BLO. '7 PLM6. ~ MECH. ~ M.H. D POOL ""THER Carlifi.dExempt. Requirod Yeec No- Nunnbe►
WORK a Vrirnoe
Remred YeeNo
8. pE~ SCRIBEYVORK ~ i ShaeNrwelFlood Flawd Pl~r~a Requlred ~
U ~ YeeD NWApplic, r Received
VALUATION SOUR GAS TRIC WATER SEWAGE FE
p~~~p ES COLLECTED
9. oF PU811C . SEPTIC Public 0 Prlvete ~
UTILITIES PRIVATE ~ SEWER
I hereby oeRify thAt I hdve read er►0 examined thla application and have read the 'NOTICE' provislona Included on
roverse aide, and know the same io be true md correct. All provlalons of laws end adinarxces governing thla type ot Bu,iaing
wak wlll be complled wlth whether specifled herein a rroi. The prantinq of a permlt doea not preeume to give eu-
thaity to violete or cancel the provielona of any other etete or locat lew repulallnp conatruction or the performance
of oonetruction. SEE q XERSE 81DE FOR REQ D INSPECTIONS Plu"'b+ng
SIGNATURE OF APPLICATION(~ 61
OWNER OR AGENT DATE ~Q
SPECIAI APPROVALS SPECIAL CONDITION • EE REVERSE SIDE FOR NOTICE) ~~n Chwk ~CN~
PRELIM. FINAL DATE
Ern. Fledth
SEPA
Plmninp •q-fa
r .r~ Moauwt
F~re MFG. Horr»
RsveM.
ottw opedhl
1 Fo- nmw
~
1~k_
Ulultlee
ToraL $ ~A
WHEN MACHINE VALIDATED IN THIS SPACE,
PUM PERMIT 18 NONTRANSFERABLE THIS SECOMES A PERMIT,
Exa" PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCEO
ld+^g IN 180 DAYS
Tech. DnTE atueo PIWO&n No.
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