HomeMy WebLinkAbout2003, 07-30 PErmit App: BLD-03-02106 Garage;ity of Spokane Valley
X707 East Sprague Avenue, Suite 106
pckane Valley, WA 99206
PERMIT #
BUILDING PERYD:T APPLICATION
PHONE (509)688-0036
FAX It (509)688-0037
Box 1 OWNER .cam r I I a ak.,y JOB LOCATION E i' . S2.3
OWNER'S ADORE S CITY PHONE a1 '16 - (0319
DESCRIBE JOB 9 30' R+4.cLae0 54; c --K. ro. e.
THIS PROPERTY IS OWNED BY: SINGL
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME 0Lik.,,ro iR LS1,55 U.C. PHONE 9( - 1 ?-
CONTRACTOR'S ADDRESS I' 0) B tom• 1.0 5e- w 04 CITY Za'"2-
CONTRACTOR'S REG.# u N K °M o DE EXPIRATION DATE 3 /ay
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT R k' Jj Eg r R -Re. rz PHONE 5 IN Y`^ e
ADDRESS CITY ZIP
_.-_-..-_....._ - _ _.....-
BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $ j 3 p r3,.-..
BOX 6 PROPERTY TAX ACCOUNT NUMBER LIS 1 3`f X32-0
LEGAL DESCRIPTION
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed) 1ST FLOOR / 2ND FLOOR
3RD FLOOR ! OTHER
BASEMENT UNFINISHED /
CARPORT / TOTAL
/ BASEMENT FINISHED
DECK / GARAGE7ao /
HEIGHT TO PEAK OF BUILDING ( I FT.
BOX8
(
) SINGLE FAMILY
) MULTIFAMILY (NO. OF UNITS
) COMMERCIAL / INDUSTRIAL
) TENANT IMPROVEMENT
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
IMPERVIOUS SURFACE
SO. FT.
SQ. FT.
3
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.
OWNER / AGENT DATE -
I bereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Msnercard— —_ — ---- _--_ Expir'adon Date
Print the name of the Holder S.iyaatmce
-- • * vim— .-
:* TO -AL FAGE.01 *;*
APPROVED BY
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