2008, 06-18 Permit App: 08002330 Demo CarportSpokane
Vailey
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. sp okane wall ey. org
Demolition
Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial
Residential
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SITE ADDRESS: i 1 g- CB1 1 1 u q
ASSESSORS PARCEL NO:
Building Owner:
Name��,r� 1 —4q
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w�Address:
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City
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Phone: Fax:
Contact Person
Name:
Phone: C -j 2.7 — 'I ?j
Contractor:
Name:
e
Address:
V� 1 /7?
111
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in detail (\
` 1 V s:
P a 1-e s r-- M t-6 1 RObf k6.5.ej
o A site plan is provided.
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The permittee verifies, acknowledges and agrees by their signature that: 1) Ownership of this City of Spokane Valley
Permit inure to the property owner. 2) The signatory is the property owner or has permission to represent the property
owner in this transaction. 3) All construction is to be done in full compliance with the City of Spokane Valley
Development Code. 4) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances.
()Ownership of resulting development rig
Signatur`,
ed by any issued permit inure to the property owner.
Method of 'a ment:
❑ Cash
Bankcard #: Expires: VIN#:
Authorized Signature:
❑ Check
Date g'
❑ MasterCard
❑ VISA
REVISED 2/16/07