2014, 04-11 Permit App: BLD-2014-0735 Carport Community Development Department
Permit Center (Staff Use Only)
11703 East Sprague Avenue,Suite B-3
SiOIane Spokane Valley,WA 99206
PERMIT NUMBER:
Valli Tel: (509)688 9036 - •7.20-saV
�� Fperax: (509)itcentera688-0037 PERMIT FEE: .
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ittliESWCONSTRUCTION PERMIT APP' IrATToN�
1 COMMERCIAL J RESIDENT Akject # . '�1/" sO1I / -i7
SITE ADDRESS: 02c9 /1,o 5 ' tiCRIPTION:
RECEIVEDASSESSORS FARCE!NO.: — /
BUILDING OWNER NAME: .APR• 1 1 2014 .
NAME: 1'✓` 4 h k_ o---i- a vN i'/
CSV PERMIT CENTER
ADDRESS: '2 Z l b S . 1 r v C) /`' "`SS 1^ • SUB # C ( REV. -74-4
CITY: Gd S.% !c rc-� LA 62. i!t-e v STATE: L ) Ci ZI i-19-19---3--7
PHONE: l I 1
- 8 - 3 FAX: CELL: :� , `( C — -] 3 q 9 .
CONTACT NAME: S L"
PHONE: •
FAX: CELL: •
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CONTRACTOR NAME: CO •
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MAILING ADDRESS: ' • • •
CITY: STATE: , •ZIP:.
PHONE: FAX: • cat.:
CONTRACTOR LICENSE No.: EXPIRES: CIN BUSINESS LICENSE NO.:
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DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
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TOTAL COST OF PROJECT: $ LL) yo a .6) 0
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1)if this permit is for construction or on a dwelling,the dwelling is/will
be served by potable water. 2)Ownership of this City of Spokane Valley permit inure to the property owner.3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development code.. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5)• The City of
Spokane Valley permit is not a permit or approval for any violation of federal,state or local laws,codes or ordinances. 6) Plans or additional
information may be required to be submittedit/ and subsequently approved before this application can be processed.
Signature i--1-4- G� Date: Lt.— l t — l Lk
CA1411) 1?
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