2003, 04-18 Permit: BD-03-126 RemodelCITY OF
SPOKANE VALLEY BUILDING PERMIT No. 3-12(e
SITE INFORMATION
Site address: 1 -q1 --'� S _ !M t*� R, !
Parcel number: `—
Subdivision: pa
Zoning: Water District:
PROJECT INFORMA�JON
Permit use for: s o l i di K e W t 1 �/ v� p '
Applicant: 0-4 ;1.5 /-o,oh e r• pe '/I Ans
Address: / 3/ 3 �. P; Cc, P6 / ) ?' )
Contact:
Owner: f--� Phone #• q� % —a / � 7
Address: Project name:
City C -20b--00- I ltq State'ZcJz( ZipDco Sprinklers ? — Fire Alarm ? _ Security Alarm ?
Building Permit Information
Contractor4')f19v1� ■�■■■■■■■■.■■■■■.■■■■■.■■r■■.■■..■■.■■..■.■■■.■■.License #■■■■■.■■.■.■■■..■.■.■■.....�
Occupancy Group �L - 3_ Type of Construction Height Stories Total Square Feet
Category: -'2 new, 2=remodel, 3= addition, 4= change of use, 5=tenant improvement, 6=mechanical, 7=plumbing,
8=sign, 9= mobile home, 10=demolition, 11=Other )
Total code value $ (,�� 00 Permit Fee $ Plan Review Fee $ -7-00 State Surcharge $ q.5 -V
Surcharge $ Fire Fee $ Planning Fee $
TOTAL FEES $ �(o AMOUNT PREPAID $
Public Works Fee $
TOTAL DUE $ 4(v - 5SD
SENSE 0
The issuance of this permit does not imply complete approval for construction not in compliance with the codes and standards.
NOTES / CONDITIONS OF APPROVAL
1 cc to File —1 cc to Permit holder -1 cc to Assessor
Issued by. Date �; 0