2003, 06-04 Permit: BD03-240 ResidenceCITY OF
SPOKANE VALLEY
SITE INFORMATION
Site address: 2 3) / til
Parcel number:
Subdivision:
Zoning: Water District:
Owner:
61-1 VC)
BUILDING PERMIT No. -- 6 ' 2
PROJECT INFORMATI N
Permit use for: "e'S /«/rn, -,'-C , I`7
Applicant: L'X/'?le, --7 ," S
Address: /) C /S - c / ,:-//v SY
Contact: i' ito„e
Phone #: 9 /.../ 5 / ;i
Address: Project name:
City State Zip Sprinklers ? Fire Alarm ? _ Security Alarm ?
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Building Permit Inf
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Contractor
Occupancy Gr up -
Category:
ormation
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')‘, -7" i'Py`�''=�� License #
Type of Construction f/ -J/ Height Stories • / Total Square Feet/ 3
(1= new, 2=remodel 3- addition 4 change f 5 t t' 6
- = o use, = enan unprovement, =mechanical, 7=plumbing,
8=sign, 9= mobile home, 10=demolition, 41=Other
rr? /'�7`t'7 ' 1
Total code value $c'/ / Permit Fee $ /3':'.
Surcharge $ Fire Fee $
TOTAL FEES $
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Ian Review Fee $2.2 '/, 5/ State Surcharge $. V S C
Planning Fee $ Public Works Fee $ 2 . e)
AMOUNT PREPAID $ TOTAL DUE $
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The issuance of this permit does not imply complete approval for construction not in compliance with the codes and standards.
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NOTES / CONDITIONS OF APPROVAL
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1 cc to File -1 cc to Permit holder -1 cc to Assessor
Issued by• - Date