2003, 05-11 Permit App: BD03-422 Addition�Hr'K Ul =tow 14;7),(" FN
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SPOKANE VALLEY
PERMIT #
BUILDING PERMIT APPLICATION
Sp7970
NJ t,J42USU
r. Uc'%14
Box 1 OWNER T .r 6r }'h JOB LOCATION peke.
OWNER'S ADDRESS 5jrt nl, Irnetb.41pITYz Lle-v PHONE t9 no'
DESCRIBE JOB O11rxy0 xt>' Itan:o ejeliior.
THIS PROPERTY IS OWNED BY: SINGL MARRIED
PARTNERSHIP CORP.
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BOX 2 CONTRACTOR'S NAME Twin C (oun i,,; Nets
CONTRACTOR'S ADDRESS rir1•(8 F Trr..ir
CONTRACTOR'S REG.# Tin tat Lai. I ?3.(..
(„
PRESENTED AND COPIED OR VERIFIED)
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(CARD MUST BE
PHONE 5 40(4#
CITY S posit .‘C
EXPIRATION DATE
========== ==== ==
BOX 3 CONTACT PERSON OF PROJECT moor n 2 tc,o. r -ry
PHONE 53Sgos
ADDRESS Sgtft E " CITYr-Yca3 ZIP 44x11
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BOX4 SEWER AVAILABILITY WATER AVAILABILITY
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BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION
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BOX B PROPERTY TAX ACCOUNT NUMBER .% 33/43 . q t Off
LEGAL DESCRIPTION
i
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
=-_ ===========
25/•2 C
1i2.�•:5-_LE
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BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
3RD FLOOR / OTHER /
BASEMENT UNFINISHED / DECK
CARPORT / TOTAL /
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BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL 1 INDUSTRIAL
( ) TENANT IMPROVEMENT
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BOX 9 PLUMBING FIXTURES (including rough -ins)
2& 5•3I
1ST FLOOR R64:5 / 2ND FLOOR
BASEMENT FINISHED
GARAGE j4 ../ /`r( 1.16
HEIGHT TO PEAK OF BUILDING
( ) NEW CONSTRUCTION
TOTALSTING STRUCTURE
AREA OF PROPERTY 333114
FT,
5Q. FT.
IMPERVIOUS SURFACE SQ. FT.
MECHANICAL APPUANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
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BOX 10 Water Service meter size (if known) Also see BOX 4
BOX 11 Septic Tank — Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME 1S 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 (OVER)
I hereby authorize the Ctly of Spokane Valley to charge the fee fur this permit to my credit card:
Vire Mastercard _ Expiration Date
Print the name of the Bolder Signature
05/14/2003 15:38 5093241567
NU'Kr
SPOKANE VALLEY
SRHD EHS
PERMIT # • 1
BUILDINQ PERMIT PPLfCCAIION
TO 324156?
P.01/02
Box i owxmt��`M ir„ tti. JOB IACAT'iox Sp44t
OWNER'SAbD $Itd., eitshoITY��: RHONE fit
DE6CRIBE JOB _)q'A 4p'%q' Itu.(c aLir`iin.
NIB PROPERTY IS OWNED BY: 81N0 IE
PARTNERSHIP CORP
BOX2 CONTRACTOR'S NAME Than t /a,,abb ,v�M PHONE fSRol b
OONTRACTOR'B ADDRESS Ste' F Trow& ciTY Sf
CONTRACTOR'S REt .O ?Maio f A2) ? kY, (e • EXPBtAnoN DATE
npoessuiwaseznanilisa
(CARD MUST BE 6ktESEM!® AND COPIED OR VERIFIED)
80X3 CONTACT PERSON OF PROJECT Tear; (al.b+v ! PHONE +S3S40i6
ADDRESS SR ID E Tnit CITY Sp.('y,e' LP 44a,l,a
BOX4 SEWER AVAIABRJTy
WATER AVAIL)iBILRTY
BOX 5 ESTIMATED PROJECT COSTw�sa.e....�.
EXJISSTING NG fiBLLDG VALWTION S
BOX 6 PROPERTY TAX ACCOUNT NUMBER HIs.3'43 - q atwww I e•�•`'�•w•m¢"„"•w
LEGAL DESCRIPTION
•
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WRH THE LEGAL DESCRIPTION)
0MU4 Nune1EA IAL 4iMaw
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eatane omasea enaneevn. rs»ea==- =acaim.o.sraeazen.®smeat
BOX 7 BUILDING SQUAR8 ROOTAGE(8441149/ oropoeedl 19T FLOOR jag j JND FLOOR• ,1
3RD FLOOR / OTNEM / BASEMENT FINISHED /,___
BASBMENT UNFINISHED / DECK/ iiaARAGE We /�_
CARPORT f � TOTL / HEIGHT TO PEAT( OF BUILDING PT,
A'^`am'....�.au.ovymmra..e.v�.y...v.u..i ®mawwr.esc=
BOK a ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS ( )) NEW COIrbTRUCIONT
E
( JAM
COOERCIAL I WDUSTRIAL ) l OT J. AREA GP PROUPERTY 3331 U SO. FT.
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE SO. PT,
u.®omwn .vm.uma!ee7. ....w... .......n.e.�-r.,en.es.e.s.s.o,r�; r_ '
BOX 9 PLUMBING FUTURES (Indudtno rvgBMIne) MECHANICAL APPUANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL PORN FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, F1R!PLACE INSERTS, WATERNPATERB, CONVERSION BURNERS,
LAWN SPRINKLERSYSTENTS, BACK FLOWPREVENTERB, ET AL.
oareamm.eac..IT�.. ^J....OY...eIG...wommea=i...........esm.---C...... s...N.G�
BOX 10 Mgr SeMde meter Mrs (Ifknown) Ala bee SOX
80X 11 Sopec Tank - Not Oeneraly allowed In the City of Spayena Valley, For aperlal circumstances Domed
Your sower purpose' end the Health Deena (See BOX 4) �
BOX 12 aceta NO ment Maayy make a' Mutt Use Parma' for serer, waver. Sidewalks, curb RAL Cantaot the PIAdb
W
I VERIFY UNDER THE PENALTY 0P PERJURY THAT THE INFORMATION FURAISHED BY ME IS TRUE AND
OORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT 1 AMA(JNORIZED BY THE OWNER OF THE
ABOVE PREMISES To PERFORM THE WORK FOR W HICHTHE APPUCATION iS MADE
OWNER/AGENT DATE 1
thank* sadists tbm p.y orBpalu.. Valla to teary/ the t.. for this pfftPS ray RAO card:
Vin Meunntd ___
Print Oa at= Cana 2Nlee
Blit ature_I
(OVER)
MAY 11 2003 15:37
5093241557
PAGE 0.01
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