SPRAGUE E 5415 DONREY OUTDOOR SIGN PERMIT NUMB~F
, rLAnnUMtlCMS Arr~I~A i iVN/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUiLDIHG & SAFETY '
,
~ NORTH A11 JEFFERSON ! SPOKANE, WASMINGTON 992801(508) 458•38I6
APPLICANT. COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES '
~ STREET AOOHESS PARCEL N0.
1. 6 fA' 1 C~ L (S;p I
LoT eLoCK SUBDIVI510N LEGAL DESCRIPTIOW:
~ OWNE P NE PHONE ~
K t;-e 5wa AZ)n
3. ~ .
~ MAILING AQDRESS ' G~ • ZIP ~~in F~ to:
E30 ('vZ- (o ~Z~iv North ~ soutn ~ Eot ( we~r
C~Rq~pq Pw ~If LICEN SEEXPIRES PHONE ~d~ Cllon RssjdsMiW
~~.n~ . g
i
aooRESS nkrered
' ~ ZIP TYPa oYee No DReQ'd.
DESIGNER PHONE New Cbne1. Veluatbn RemoQeled ValuaNon Total Bldg. Fioor Area
5. ADDRESS ZIP AAein Flaor Upper ftooro GarapelStorepe Greenhouse
CHANGE OF USE fROM TO Cmer Oedt Unc+r. Oeck Fin. Bawment Unfin, Basemenl
6.
' Nu, gattm No. F1oaa No. Fin. Rooma No. Dwellirqa
TYPE 0 NEW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
1. OF OTHER
WORK dBLD. 0 PLMB. ❑ MECH, 0 M.N. 0 POOL ce~~f~ emoi• Re~uuea veea Moa N~
Reoeived Yeea Noa /
OESCOR~~ ShorellneelFlood Hazard Ptaro Requlred.Ld'
8
YeeQ Nol Appl~. 0 Received 0
fi
VALUAT ON 50URCE GAS' ELECTRIC p~Bl C 0 EIC ❑ ~ip FEES COLLECTEO
~ 9. 10 OF PRIVATE R SEWER t3 P+~~ ~~dte ~
UTILITIES
~ I he eby certity thal I have read and examined this application and have read the 'NOTICE" provisiona included on
reverse side, and know the same io be true and correct. All provisions of laws and ordinances governing thls type of Building 9~p
work wi{I be compNed with whether specified herein or not. The granting ot a permlt doee not presume to give au-
thority to violate or cancel the provisfons of any other state or local law regulaling oonstruction ar the pertormance
of construction. SEE REVERSE SIDJF, FOR REQUIRED INSPECTIONS Ptumbinp
SIGNATURE OF APPLICATION/D ~ ~
DATE ` mecfi•
OWNER OR AGENT l
(SEE REVERSE SIDE FOR N4TICE)
SPECIAL APPROVALS SPECIAL 7NDITIONt--
PRELIM. FINAL OATE Plan Check
E/tv. Heelth .
SEPA
X Planning Modularl
MFG. Home
~Ire Prevent.
X Eng►neer Other (Specf}y)
Utililiea
TOTAL $
• SEPA ,
WHEN MACHINE VALIDATEO IN THIS SPACE,
~ Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exa"'' PERMIT IS NULL AND V010 IF WOAK HAS NOT COMMENCED
suciding IN 180 DAYS
'ech• 4;1- DATE 15SUED PERMIT N0.
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