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2003, 07-08 Permit App: BLD-03-02027 Garage ;ity of Spokane Valley PHONE (.509)688-0036 1707 East Sprague Avenue, Suite 106 FAX # (509)688-0037 Dokane Valley, WA 99206 PERMIT # BUILDING PERMIT APPLICATION Box 1 OWNER W�,,P `�G 4-�S�‘-‘ JOB LOCATION C ,,. } OWNER'S ADDRBSS574(2.?.,i CITY PHONE G'2, DESCRIBE JOB vZ�) THIS PROPERTY IS OWNED BY: SINGLE/ ARRIED - PARTNERSHIP CORP. BOX 2 CONTRACTOR'S NAME ( PHONE CONTRACTOR'S ADDRESS CITY CONTRACTOR'S REG.# EXPIRATION DATE (CARD MUST BE PRESENTED AND COPIED OR VERIFIED) BOX 3 CONTACT PERSON OF PROJECT `, P e PHONE ADDRESS CITY ZIP BOX 5 ESTIMATED PROJECT COST-17Q L /EXISTING BLDG.VALUATION $ __ _ BOX 6 PROPERTY TAX ACCOUNT NUMBER cie s"."--, . Z Q LEGAL DESCRIPTION BOX 7 BUILDING SQUARE FOOTAGE(Existing/ proposed) 1ST FLOOR / 2ND FLOOR 3RD FLOOR / OTHER / BASEMENT FINISHED / BASEMENT UNFINISHED / DECK / GARAGE /e%? CARPORT / TOTAL tyhV l HEIGHT TO PEAK OF BUILDING 2O /OFT. BOX 8 ( ) SINGLE FAMILY (>4) NEW CONSTRUCTION ( . ) MULTIFAMILY(NO. OF UNITS ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ. FT. ( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE_ SQ. FT. I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFO THE WORK FOR WHICH THE APPLICATION IS MADE. OWNER/AGENT /l DATE g°1--- I �I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card: , Visa Mastercard __ Expiration Date Print the name of the Holder Signature 3 1-0 5-0 5 ,.. ... ..m, k 7.- APPROVED , _41' 1--k-Q-C-k-"- ,,, _ i, APE'Ar, . LTD BY Ai 7 ' . ',- • .. /A • / / DJ 'z, LL..) '',' /' Sc3,00 / ril 4,, 00 0, ,< - , -,,,, ( (f, ..sy c, a, -0, -,,, co , ...3, —c_ r cy 7 c-k0 0, 7s ',., (---- 4 , 0-1 Ri 1 Tzo) o -----(c.-:,c n / 0100 7 / 136-.01 l tO ,.. Lo r,. 1' 00 ,... _._ 3 ' ........,, '0 C -I 4,.......... , ,••6 _ \ 8.-01 ....4 cr, .--, 6 rn