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2003, Permit: 03-860 Demo Garageq,IrJ0``) City of SPOKANE VALLEY DEMOLITION PERMIT APPLICATION Address of property T2e 4{ �R-/R Permit No. Tax lot Number Gf.So7a 3S -to?, Owners Name )' a nc /s L . 10/a Address , o N L Method of destruction 7 /2 /,'Sh ti L Phone 0202 DSTB' no as - Will ags- Will a container be required on the property ? yes ✓- no Is water available to keep the dust at a minimum ? V yes no Is asphalt affidavit required ? yes 1/ no Will sewer line be capped? _ yes _ no OR septic tank be removed? yes ✓no Is there a well or sink hole on the property ? yes Is there any underground flammable liquid tanks to be removed ? yes ✓ no (Removable of any underground flammable liquid storage tanks must be reported to the Dept. of Ecology, PV -11, Olympia, WA 98504-8711 with a copy of this application and set of plans) Approval from D. O. E. must be obtained before permit can be issued. 47-c•o2o-eiackhesy2,s Is there any ASBESTOS that needs removal ? V yes no7vcid /2',276da Police and Building Department must be notified if well is capped or filled. If not filled, a map of the property showing the well is to be supplied to the Building Department. A $500. cash deposit or surety bond is supplied for cleanup. yes V no Permit Fee 35.00 ,50 Star Sttrayae. /e�De a Owner or agents name Date Received by Building Department Date Routed to: Planning / Zoning Water / Sewer Health Police Agency Fire Dept. Polution Cash deposit: yes no OR bond yes no Demo permit