2009, 12-04 Permit App: 09003813 ResidenceProject Number: 09003813 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/4/2009 Page 1 of 3
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front
Site Information:
Plat Key:
Contact: CLIFF SCHMITZ CONSTRUCTION, IN
Address: 16520 E SECRETARIAT
C - S - Z: VERADALE, WA 99037
Left: Right: Rear: Phone: (509) 999-7733
Group Name:
Project Name:
Name: Range
District: East
Parcel Number: 55074.3911
Block: Lot:
SiteAddress: 18204 E SHANNON AVE
Location:: CSV
Owner: Name: CLIFF SCHMITZ CONSTRUCTIO
Address: 16520 E SECRETARIAT
VERADALE, WA 99037
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19
Area: 7,142 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: „
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 12/3/2009 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 12/3/2009 By: cjjanssen
Released By:
Originally Released: 12/4/2009 By: jdavis
Operator: JD Printed By: JD
Print Date: 12/4/2009
Project Number: 09003813 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/4/2009 Page 2 of 3
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Description Gtr Type Notes
1&2 FAMILY R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
HOOD - TYPE I
Contractor: CLIFF SCHMITZ
Address: 16520 E SECRETARIAT
VERADALE WA 99037
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Building Permit
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,147 $111,064.01 1,147 $111,064.01
475 $9,025.00 475 $9,025.00
Totals: 1,622 $120,089.01 1,622 $120,089.01
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,111.35
$4.50
$444.54
$1,560.39
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Units Unit Desc
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
1 NUMBER OF
Units
2
3
2
1
1
3
Operator: JD Printed By: JD
Permit Total Fees:
Plumbing Permit
Fee Amount
$13.00
$2.00
$33.00
$52.00
$100.00
Firm: CLIFF SCHMITZ CONSTRUCTIO
Phone: (509) 922-4297
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$18.00
$72.00
12/4/2009
Project Number: 09003813
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/4/2009
Payment Summary: y,; ,�. �.w.,,...,
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,560.39
$100.00
$72.00
Invoice Amount
$1,560.39
$100.00
$72.00
Amount Paid
$433.34
$0.00
$0.00
Amount Owing
$1,127.05
$100.00
$72.00
$1,732.39 $1,732.39
$433.34
$1,299.05
Page 3 of 3
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD
Print Date: 12/4/2009
• �a11ey
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pennitcenter@spokanevalley.org
PERMIT NUMBER: ?-3,-73
PERMIT FEE:
New Construction ❑ Accessory Bldg
n Addition/Remodel ❑ Deck
❑ Other:
SITE ADDRESS:
ASSESSORS
Building Ow)
Name:
Address:
City:
Phone:
�j 0v
GAL DESCRIPTION: ' k LA l p y f S 41 Tz
/6-pcer AGO
Contact Person
Name: l`_ I- [ F P SC H-0 1-1--z,
Phone:
cls (lei —2-2.3 "3
Describe the scope of work in detail:
Contractor: Li_ i Er scAil,1-1...2- c!!nS7 Z J -
Name: ., 4 lY
Address: 1 (aczo
i • s
�1 7e^ ,,,
City:
Ue, 1�
2Nu FLOOR SQ. FTG:
�.-�>�
Si, a3 v� Zipq, -,
Phone: 4 qq,7 7 3
3
Fax:
Z l- S(vOjj
Contractor Lic No:
30% SLOPES ON
PROPERTY: -e
Exp Date:
City Business Lic. No:
HEAT SOURCE:
SEWER OR SEPTIC?
Cost of Project: $ I () 1, OODco
,\ie -01) us? G irl
Proposed Use:
•MUST be com Tete• (write N/A if not applicable)**********************
•' "' 1 Ile Mini TV mg P •
HEIGHT TO PEAK:
l
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
i/L7
MAIN FLOOR TO SQ.I
FTG:
-6- I .1147
2Nu FLOOR SQ. FTG:
�.-�>�
UNFIN BASEMENT SQ. FTG:
'ems
IMPERVIOUS SURFACE
AREA: a -
-
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FT :
f
DECK/COV. PATIO SQ. FTG:
-- "�
30% SLOPES ON
PROPERTY: -e
....44:-9-7
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This City f Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) PI. s .diti.r al information may be required to be submitted, and subsequently approved before
this application can be pjocessed
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
heck
DATE:NL 1 ? d 6 1
❑ Mastercard 0 VISA
Expires: VIN#:
-14;0- Valley.
Community Development
Mechanical Permit Application n Commercial
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcentera,,spokanevalley.org
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: ( 25?J) L1 6 . S ket,n rk
Residential
Building Owner
Name:
Phone:
Fax:
Address:
City:
State: Zip:
Contractor
Name:
K tj-f kt, J 6
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
•
Phone:
DCASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Bui lding/MechanicalPermitApplication040309.doc
#UtITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
Z
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 -15 hp —100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp -1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
3
VENTILATION AND EXHAUST
Each ventilation system
66
>�z.
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
DCASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Bui lding/MechanicalPermitApplication040309.doc
m~ k
.*Valley.
Community Development
Plumbing Permit Application
I 'Zoikatie\ r) )'-\
r cuuu •caucI
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter a,spokanevallev.org
SITE ADDRESS:
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ® Residential
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor 0 K pawl (- ))0 G
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
Z.-,
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
l
CLOTHES WASHER
Y
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
2
J
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevallevorq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc
okane
jUalley�
For City Use Only
PLUS Project Number
Project Address
{
11703 E Sprague Ave Suite B-3 ♦ Spokane Valley WA 99206
509.688.0036 ♦ Fax: 509.688.0037 ♦ permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
I' c^
Your application review TARGET DATE is
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re -submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven 't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re -
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE REV 9/07
CoC
'LDT I.
ELibe
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PLANNING DE . APPROVED
BY.C�'1��.�
DATE: P13105
IS' 60-lickr
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k
SPOKANT COWrx
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 18204 E SHANNON AVE
Parcel Number: 55074.3911
Subdivision: RANGE
Block: Lot:
Zoning:
Owner: CLIFF SCHMITZ CONSTRUCTION, IN
Address: 16520 E SECRETARIAT
VERADALE, WA 99037
Building Inspector:
Water Dist:
Project Number: 09006309 Inv: 1 Issue Date: 12/3/2009
Permit Use: SEWER CONNECTION
Applicant: CLIFF SCHMITZ CONSTRUCTION INC
16520 E SECRETARIAT
VERADALE, WA 99037 Phone: (509) 922-4297
Contact: CLIFF SCHMITZ CONSTRUCTION INC
16520 E SECRETARIAT
VERADALE, WA 99037 Phone: (509) 922-4297
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: CLIFF SCHMITZ CONSTRUCTION INC License #: CLIFFSC937JD
PROCESSING FEE 1 $15.00 S1 SEWER CONNECTION
1 $125.00
Total Permit Fee: $140.00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwing
$140.00 $140.00 $0.00
Tran Date Receipt # Payment Amt
12/3/2009 5268 $140.00
Processed By: DOMPIER, DAWN
Printed By: HINTZ, FAITH Page 1 of 1
PERMIT
•
NOTICE
It is the responsibility of the applicant/permittee to see to it that the use described on the front of this permit complies with applicable codes and
requirements and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the applicant's/permittee's
or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code:
1. FOOTING - all structures, including manufactured homes when forms and reinforcement are in place and prior to placement of concrete.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning
regulations. Front, flanking, side and rear yard setbacks are measured from property lines. Curb lines and fence lines are not necessarily indicative of
property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the actual improved street/
curb. The responsibility to comply with applicable setback provisions lies solely with the permittee—neither Spokane County nor its authorized
representatives assume any responsibility for the verification or location of your property lines. Please verify their location prior to locating your
structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense.
2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete.
3. FRAMING - after all framing, bracing and blocking is in place, plumbing, mechanical rough -in inspections have been approved, and prior to
concealing.
4. INSULATION - prior to the installation of drywall.
5. PLUMBING - after rough -in, before covering, and final.
6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL - all permits - when complete when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site
plan) required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access,
on-site drainage (`208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which
must be completed prior to final approval of a building or issuance of a Certificate of Occupancy.
8. MANUFACTURED HOMES - foundation inspections prior to pouring pads, inspection of Blocking/Tie-downs, when completed per manufacturers
installation instructions. Final Inspection approval prior to occupancy: stairs, handrails, skirting, etc., installations completed WAINSTag(s) must be
affixed to the home, completed inspection record card and manufacturer's installation instructions must be available on site.
9. SEWERS - prior to cover
10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be inspected
prior to cover. Check with the department for "special inspections" in conjunction with commercial projects.
FOR INSPECTIONS:
TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE .
PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS
FROM MORE THAN ONE AGENCY.
• Building, plumbing, mechanical and fire inspections, Department •
of Building & Planning 477-3675
• Construction in a flood plain, Division of Engineering & Roads 477-3600
• Electrical wiring, State Department of Labor and Industries 324-2640 •
• On-site waste disposal system, Spokane Regional Health District
324-1560
Road cuts for utilities or driveways, Division of Engineering &
Roads - 48-HOUR NOTICE REQUIRED 477-3600 or
State Department of Transportation 456-3000
Sewer connection, Division of Utilities 477-3604 or City Public
Works Department 625-6300
PERMIT EXPIRATION
Unless otherwise noted, building, plumbing, fire and mechanical permits will be considered null and void by limitation if the work authorized by
the permit is not commenced within 180 days or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Department prior to expiration. At a minimum an inspection should be requested at least once every 180 days to assure the
validity of the permit. Please call if you have any questions.
REFUNDS
All requests for building permit refunds must be made in writing by the applicant/permittee (shown on the reverse) no later than 180 days after the
date of fee payment. Refunds of not more than 80% of the permit fee paid may be authorized when no work has been done under the permit. No
refunds may be authorized more than 180 days after fee payment. Please contact the other agencies with respect to their refund policy on all other permit
types.
MISTAKE?
If you think we've made an error in processing this permit or find erroneous information on the permit, please bring it to our attention immediately by filing
a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Building and Planning at:
Spokane County Department of Building & Planning
1026 West Broadway Avenue Spokane, WA 99260
Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133
REVISED 11/08 BLDG PERMIT