HomeMy WebLinkAbout2013, 05-08 Permit App: BLD-2013-0830 DemolitionSpokane
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterOsookanevalley.oro
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
DEMOLITION PERMIT APPLICATION
PROJECT ADDRESS: 32.2 3 t /--,L
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
MAILING ADDRESS: 32 Z 3 4-9
CITY:—5r;M,* /7"q % STATE: %/,9 ZIP: -� -2-
CONTACT
CONTACT PERSON NAME:
PHONE: 7 - % F7 9S--
FAX: CELL:
CONTRACTOR NAME: F
MAILING ADDRESS:
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CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
PROJECT DESCRIPTION (Please Provide Site Sketch)
El Site Plan Provided ❑ Notice of Intent #
❑ Spokane County Utilities has approved the disconnection
Describe the scope of work/in detail
P,X/J, e7?9
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property •wner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development code. Referenc-• .des are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a . mi apr ov. for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may It requi .. . b- %. mitt= d subsequently approved before this application can be processed.
Signature
Date:
6t -Z401 -08M
/3
Updated
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Demolition_ Permit_1-11-11.doc
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PLANNING DEPT. APPROVED
BY:CML U.A/U
DATE: 51 aIS
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