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2015, 03-20 Permit App: BLD-2015-0591 Inspection Only
Spokane ,�Valley_ COMMERCIAL (NON-RESIDENTIAL) CONSTRUCT PERMIT APPLICAr4r Mei -11J1- w N- �le�% LEGAL DESCRIPTION:! MAR Z Q 241_5 S\Ackv`ekqe_4\Ael.T- cSVA,ERMIT CENTER Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter©si okanevallev.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: 1 0 NEW CONSTRUCTION 0 TENANT IMPROVEMENT SITE ADDRESS: R ASSESSORS PARCEL NO.: BUILDING OWNER NAME: MAILING ADDRESS: CITY: I\,ipso. ')Qe' ; \6-t f V . STATE: bV) s 828. qcs4i CONTACT PERSON NAME: PHONE: CONTRACTOR NAME: SUES Fax:5G9cr22re8S ((, CELL: -S-1 82 8 L 5' f MAILING ADDRESS: CITY: STATE: ZIP:. PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: ... CITY BUSINESS LICENSE NO.: ARCHITECT/COMPANY. NAME: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: NAME OF OCCUPANT OF STRUCTURE: PHONE: CONTACT PERSON NAME: PHONE: FAX: CELL: 6 FAX: CELL: DESCRIBE THE SCOPE OF WORK IN DETAIL V (62_ex 5 �� c -- \ .a.'< -\c 1-Ace-- ac\,f n: A C ? ufr\ �= \i Sss I� ' S 00TOTAL BUILDING SQ FT: 1 1 FIRE SPRINKLERS: N 0 SQ FOOTAGE: 1\ 0 0 SQ FOOTAGE: TYPE OF PROJECT: HEAT SOURCE: W' &d\S C C— PRIMARY OCCUPANCY: o C r2_. SECONDARY OCCUPANCY: a TOTAL COST OF PROJECT: $ /AV •) lI� DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) If this pd it 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 requiresubmitted and bsequently approved before this application can be processed. Signature Date: S' Updated 1-10-2011 Page 1 of 1