2002, 06-03 Permit App: BD-03000262 Remodel GarageCity of Spokane Valley PHONE (509)688-0036
11707 East Sprague Avenue, Suite 106
Spokane Wiley, WA 99206
PERMIT # n3-262
BUILDING PERMIT APPLICATION
FAX # (509)688-0037
Box 1 OWNER fffi, ,q. emir/0 JOB LOCATION 7507 g 1984-1j/ j
OWNERS ADDR SS r CITY PHONE QL—b& / (!
k:rtAn &c. /aeruaie Yns5&s j ic» ;€ar,
DESCRIBE JOB 1-2.46.-L ,P
THIS PROPERTY IS OWNED BY:
PARTNERSHIP CORP.
NGLMARRIED
BOX 2 CONTRACTOR'S NAME,A4, PHONE 9e/-7.50,0".
CONTRACTOR'S ADDRESS /3/5 /0, t/,c)de/Lsi ice/ CITY 420/‘-u-,ceCoGCti
CONTRACTOR'S REG.# tY/-toLC >keo55,1 �- EXPIRATION DATE ��/7/ ora
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT wi 3 /c PHONE %Z/ - /So c`
ADDRESS/'j70. Ltt, t tts i rz1 CITY
a a _
//4-rJP ZIP 990,0,f
BOX 5 ESTIMATED PROJECT COST $ cgr EXISTING BLDG. VALUATION $ 1.54
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
col zs-
- 33.q—
BOX 7 BUILDING SQUARE FOOTAG(Existi / proposed)
1ST FLOOR'S/ 2ND FLOOR / aS.2O
3RD FLOOR / OTHER / BASEMENT FINISHED
BASEMENT UNFINISHED / DECK / GARAGE 746 /
CARPORT / TOTAL
/ HEIGHT TO PEAK OF BUILDING /
BOX 8 ( ) SINGLE FAMILY
.) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
(
) TENANT IMPROVEMENT
( A NEW CONSTRUCTION
( EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE SQ. FT.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND •
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE. •
At., OWNER / AGENT , l`7',
DATE
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard
Print the name of the Holder
Expiration Date
Signature
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THESE PLANS MUST BE KEP
ON THE JOB SITE
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APPROVED BY!
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THip BUILDING,SUBJECT
FIELD INSPECTION CORRECTIONS
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