FANCHER N 712 FASTENERS INC SIGN PLAN NUMBER AppLiCATION/PERMIT
PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT
1 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 /(509) 456-3675
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APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
Z Faucher Road,, Snokane. WA. 99206 LEGAL DESCRIPTION - SEE ATTACHED F N p~
LO t7C BDINS 10
PARCELNUMBER/S 'Grg ST SPOK ^I~ ~
2. ?4Pp
OWNER PHONE Z " r \044/Z V*r-
3. Faqtpnera, Tnc 535-9022 4'e"e- s Ra~/ 3 3-~
ADDRESS ZIP Actual Set Backs in Feet ~
V_?20 Fancher....Bnad,SpokAne, WA. 99206 a►th isouth lEa5t west PHON a Heath TNorthwest , Inc , 455E 8666 S1ze of Parcei Zone ss~nu;on ~ C
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A O O R E S S Z I P T y p e C o n s t. O C C U D a n C y S p n l e r e d
E- 411 Snrague, Srliokane. w,&t 77202 QYes ❑N6 ❑ Rep'd.
DESIGNER PHONE Valuatlan Bullding Area in Sq. FI.
5. f O*A~55 5' x10' 50 8q f t
ZIP ain Floor UDOer Floon Garage Area Storage
CHANGE OF USE FROM TO Area o( Decks Finished Basement Unfin. Basement
6• None
TYPE ❑ NEW ❑ ALT. ❑ AO'N. ❑ RPL. M V E. No. 9aths No. Slories No. Rooms No. ot Owellinqs
❑
OF 0 OTHER
WORK ❑ BLO. ❑ PLMB. ❑ MECH, ❑ M.H. ❑ POOL CEiiTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTIpPd
OESCRIBE WORK Enum, Dist, Lowtlon (Aroa) 8. Siqn Installation fEESCOLLFCTED
VRLUATION SpCE GAS ELECTRIC WATER SEWER pvvnersnip u5E CODE
9. OF UTILITIES Public 0 Private ❑
Single a
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this guilding
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions oi any other state or local law regulatiny construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
OATE OF APPLICATION SIGNATURE OF APPUCANT Mech.
SPECIAL APPHOVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env, Health
SEPA
Pla ~g ~
' I~ '~tG I ~ ,1~c~~~ _
F e arshall v ~ Mobile Home
. . .r
xer, ' er( / Other (5pecify)
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TOTAL $
Plans Exammer
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bwlding Technfcian PERMIT IS NONTRANSFERABLE _
PERMlT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUEO PERMIT N0. TOTAL
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