2011, 01-24 Permit App: 11000226 Demolition GarageSpokane
11 Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Demolition
Permit Application
PERMIT NUMBER: 1\(
PERMIT FEE:
n Commercial
Residential
SITE ADDRESS: (S"7) 5 F / 6.eE't.Lov) Nva
ASSESSORS PARCEL NO:
Building Owner: 3-014 v^ _ac_t_ru`P`
l
3-c114 Name: 0Aoac--t S�c_k.
Address: f Si S F Cr Fe.c.e ,...I Q e -
City: set,laill .J4_ \it, 4 State, Zip: oisi z (
Phone: 5 0, O t t G i1 t.,,k Fax:
rEntact
Person
Name:
Phone:
S1 , Ac
Contractor:
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
"City Business Lic. No:
Describe the scope of work in detail
nnoz a s -1 a- QF: %OJC Fx H-1^) N(r- art Mr&
A site plan is provided.
►JJAo Spokane County Utilities has approved the disconnection.
Notice of Intent # — 000 8 # 4r/1747;z-7
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 develop
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/16/07
❑ Check
rights granted by any issued permit inure to the prop rty owner.
Date
/71
❑ MasterCard ❑ VISA
Expires: VIN#:
a
age and Carport