2003, 05-21 Permit: BD-03-472 AdditionCITY OF
SPOKANE VALLEY
BUILDING PERMIT No.N) p`3 -72
SITE INFORMATION PROJECT INFORMATION
Site address: L// 7 N tA.91 Permit use for: ?` >c t L
Parcel number: +f 5t 73. oCe z �Cc c .-� ���cQ
? Applicant: n �rl ��-
Subdivision: C? eper kr, - rc +
/a1 Address:
Zoning: (i -7 Water District: M o 0.0-,n
Contact: ►�.er) 5 g -e Its � -e
Owner: Der) r:s 6e) tc, (-e
Phone #: 9 zip — 1 L L,2
Address: t4ii ni W L L Iowo
Project name:
City ,,, State %A) Zip /920(,e Sprinklers ? Fire Alarm ? Security Alarm ?
Building Permit Information
Contractor 0 ,e_r—
Occupancy Groin_Type License #
Occupancy
3 of Construction V 1\1 Hejight '1Q Stories ± l Total Square Feet - $'4 ci
Category: 3 (1= new, 2=remodel, 3= addition, 4= change of use, 5=tenant improvement, 6=mechanica 7=
plumbing, 9= mobile home, l0=demolition, 11=Other 1, 7—plumbing,
Total code value $ .S(, 53. 2 p Permit Fee $ j. 2S—Plan Review Fee $ 25 Q. State Surcharge
Surcharge $ Fire Fee $ g $
Planning Fee $ Public Works Fee $
TOTAL FEES $ AMOUNT PREPAID $ TOTAL DUE $ j CCC
The issuance of this permit does not imply complete approval for construction not in compliance with the codes and standards.
NOTES / CONDITIONS OF APPROVAL
F+-(1. S p.ec
1 cc to File —1 cc to Permit holder -1 cc to Assessor
Issue
bv:
Date 5