The URL can be used to link to this page

2003, 09-08 Permit App: BLD-03-02407 Reroof1 1 .Vaiiey PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUN/TY DEVELOPMENT BUILDING DIVISION 99707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: 11 V f J &)CU )&C ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: PERMIT DESCRIPTION: Q fbcp RC° EI BUILDING PERMIT CICHANGE IN USE ® GRADING ® SIGN TENANT ®RELOCATION o MANUFACTURED HOME 0OFHB;R 1 OWNER / APPLICANT INFORMATION 1 ® OWNER: ® APPLICANT: PHONE: FAX: PHONE: FAX: ADDRESS: - ADDRESS: II �/�� I-_C_ITTY, TATE,/-ZIP CITY, STATE, ZIP CONTRACTOR: J J�rP{,�{1 A I ahn,, wIc I ©Ll+ ® ARCHITECT: PHONE: 5� 3LI ( FAX: C.GC-iti0C PHONE: ADDRESS: )ac39 3FF9 lit) Senn vcip Cir ADDRESS: 9 mile tii1/S, j,34.�eaj0 CITY, STATE, ZIP WA ST CONTRACTOR LICENSE it JCr`IYI CDO4-an 4./ FAX: CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT*9(oSOC12 BUILDING HEIGHT TO PEAK: BUILDING DIMENSIONS: NUMBER OF STORIES: NUMBER of BEDROOMS: DATE: METHOD OF PAYMENT.' CASH CHECK 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: CONSTRUCTION TYPE: STRUCTURES ON PROPERTY: CRITICAL AREAS: 1 MAIN FLOOR SQ FT: 2N0 FLOOR SQ FT: UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: STAFF: V/SA BANKCARD EXPIRES: V/N# AUTHOR/ZED SIGNATURE' *CAVcr ernu.r • nn. .n•ru+uc• .uu 0 e'..... Mr. .