2008, 10-07 Permit App: 08003975 MechanicalJ
SOOMane�
jValley'
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterC&spokanevalley.org
(Staff Use Only) �� ?
PERMIT NUMBER'
PERMIT FEE'
MECHANICAL PERMIT APPLICATION
El COMMERCIALRESIDENTIAL
SITE ADDRESS:
BUILDING OWNER NAME:
NAME:
ADDRESS: Aj ��,r' , 4 rc)
CITY: _ 1 nn V n " '_ 1/'. 1 1.,. i STATE: k n) a ZIP:
PHONE: 44 1-7s33 FAX: CELL:
CONTACT NAME: fl^- `O—e3ke-4
PHONE: &0q> �` _ 733 3 FAX: CELL: /09) 8-79 - �(o
CONTRACTOR NAME:
MAILING ADDRESS: , J09 A) S- z {1., 4- rJ
CITY: U� `l J09 A)
V STATE: WA- ZIP: q g I g
PHONE: {�> '�� % ?j FAX: CELL: A-09) A 79
CONTRACTOR LICENSE NO.:
MANUFACTURER'
PREVIOUS ADDRESS:
PROPOSED USE:
EXPIRES: CITY BUSINESS LICENSE NO.:
Effective October 28, 2007 Page 1 of 2
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Mechancial Permit App.l.doc