2008, 05-19 Permit App: 08001872 Demolition DeckI It
CITY OF
JL - 00
i ne
®f Valley
Community Development
Demolition
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallcy.org
PERMIT NUMBER:
PERMIT FEE: L
❑ Commercial
Permit Application [ Residential
SITE ADDRESS:
115 ho / -/� ���4�'C'✓( v� l �Z!i�
ASSESSORS PARCEL NO:
Building Owner:
Name:
Address: 54M-6- A-2
City:
4M -6 -
City: State: Zip:
Phone: Fax:
Contact Person
Name: ff-(Aff
Phone:
ibe the scope of work in detail
Dekot-cr'd aa%�' b
L..�- A site plan is provided.
Contractor: : C w elew✓5�4zvv
Name: 1
Address:
7/
State:
City:, State:
Zip:C
Phone: - �y g Fax:
Contractor Lic No: , Exp Date: .
G CG"�3
Z "
City Business Lic. No:
o Spokane County Utilities has approved the disconnection.
o Notice of Intent #
The permittee verifies, acknowledges and agrees by their signature that: 1) Ownership of this City of Spokane Valley
Permit inure to the property owner. 2) The signatory is the property owner or has permission to represent the property
owner in this transaction. 3) All construction is to be done in full compliance with the City of Spokane Valley
Development Code. 4) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances.
Ownership of resulti elopme r'a is by any issued permit inure -t-o the property owner.
Signature Date
Method of Payment:
❑ Cash ❑ Check ❑ MasterCard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 2/16/07