2003, 05-09 Permit: BD03-385 Siding APR 12 2003 16:58 FR 70 9267 700 P.d2/07
Ity of Spokane Valley PHONE (509)688-0036
707 East Sprague Avenue, Suite 106 FAX # (509)688-0037
)kane Valley, WA 99206
PES D03-33,5 �1°.(().S
BULLDING PE ' ,VO • —LI • e
Box 1 O WNL'R5a►.0.s 4-Rat\1-v.Q- E._,C\A v-, JOB LOCATION Q o et a- v\
OWNER'S ADDRESS CITY Si'''''""tPHONE a l -ct)ct I
1a4;3:10 �.'54I-acuc——_"
DESCRIBE JOB*Rp`b t.Gk G.nG2. . 4...PY\u, `J„e`4,%A.A , JO 1 -.0.-'5= a
�
J
THIS PROPERTY IS OWNED BY:SINGLE/MARRIED
PARTNERSHIP CORTTP.
80X2-CONTRACTOR'S NAME 1" c.-NctSrb C•o-kAN rz_r S PHONE 113e."(-46,-;';4 t4—
CONTRACTORS ADDRESS l3\ o CP 'A 1 t ` '""''^, \• CITY P tt"K e ."Q
L;c,#.
CONTRACTORS REG.# > vu rR>&-3ti6a 11/4&ti. EXPIRATION DATE 1- O3
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX3 CONTACT PERSON OF PROJECT J0--Se_ !`--lc�au itv\vti'SPHONE - Co1
ADDRESS 0Co14, i `ray.N.2 • CtTY oV.a,r..cz ZIP 614XD‘...
-
30X 5 ESTIMATED PROJECT COST$ \O,Cb(d .00>EXISTING BLDG.VALUATION S . •. - __
30X 6 PROPERTY TAX ACCOUNT NUMBER -
LEGAL DESCRIPTION
30X 7 BUILDING SQUARE FOOTAGE(ExIsting/proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / OTHER / BASEMENT FINISHED /
BASEMENT UNFINISHED / DECK 1 GARAGE /
CARPORT / TOTAL / HEIGHT TO PEAK OF BUILDING FT.
+OX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OP UNITS ) ( ) DCISTING STRUCTURE
( ) COMMERCIAL/ INDUSTRIAL TOTAL AREA OF PROPERTY SQ. FT.
( ) TENANT IMPROVEMENT 2¢::,..du_,nc.)2._ IMPERVIOUS SURFACE_ SQ. FT.
/ERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISUEQ BY ME IS TRUE AND
ORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
3OVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
oiNER/AGENT )-zt.. DATE S-- cr- 5-3