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2005, 08-31 Permit App: 05003180 DemolitionSboTliane do, ky BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 WqE Street Address: Assessor's Tax Parcel Number(s): 3 5 Z 3 2�� Z KO - REQUIRED( ITE INFORMATION Legal Description: PERMIT DESCRIPTION: L irnlitic Hzuse/GaraGe [❑ Building Permit [] Relocation ❑ Change in Use Grading [1 Manufactured Home ❑ Tenant Improvement ❑ Fire Safety x❑ Other OWNER/APPLICANT INFORMATION ❑x Owner: Dpartrat cf. Transcartatim Phone: 324-6276 Fax: 3246291 Address: 2714 N. Mayfair Spokane 4A1 99207. City State Zip Code Contractor: sale as pfplicant Phone: Fax: Address: City State Zip Code WA State Contractor License #: 1641U Applicant: Lareai's Daroliticn, Inc. Phone: 535-7944 Fax: 535-8087 Address: P.O. Bac 4535 City State Architect: Phone: 99220 Zip Code Address: Fax: City State Zip Code Contact: Jeff Larsen 994-3995 PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: 1 MAIN FLOOR TO SQ. FTG: 1100 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard Bankcard #: Authorized Signature: ❑ VISA Expires: ❑ Other VIN#: 08-24-05 10201AM FROM-SCAPCA T-814 P.01/01 F-333 05-0>17 aruMMICwvriliAtErELLflQN io-•,... .. iL6a-!A '. 1 '•, e f lit �ll `; 7 +:. f -y 1fel Wen Ca *, Suit 403.r. NOTryICE OFjN j' UG 19 ZOOS , 11 ; ,. •:.� _ _..a.. ... fA. 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Ifl. nIt . .. cb,, .. . fill,J List individual type sad • • • be trmondorvmv •. ere . . of m SS es /17ns-? r —III- ....IF= • ,-, ry -• •. , - nfumv t.� •.9 .- �yy Abilasecti Coeraaa; ' e--' •_ 43' t� CerQJ$$ : PSiam.if %f � Fax:.s s 955 C Demolition tMatmasni Na u (We •, Smunsne: / k if> 1) / Szt Dar: 9 ' 'Minns Fire CList Fire Dept. as detna EMUS bda,aI ■ Differed Demolition Work copy oflkder) Danalstioe CCannoet r: % •. / ' et cit 0 p.�.gpn�7S� 7 las 7 Fm[r.,, Ks tea' C1G cic-a' e%� tstam(-"�`• ��,,yry�/ a G. .ubetoorf iemourfan Pro . t caw Naim Waiting fettad Nao-tafimdabk meet Fee L LJ Owner-Ora/OW Res m•..,..•�•wi.a .. . _.:. A batva Romo.N & DwwOtlon ?Eject • . Data' R•ieotOAP • P1101' rim $25 2. All OtherDemnl - With No Asbestos Removal Prefect 10 Days MSO d. 1 •2597memr fiat •. 4s - 1.59 mom fen In hookpf form for aedeas) 4. -999twee $fawna•. 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