2003, 04-07 Permit: BD03-042 Reroof ...___
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CITY OF \/' _ `
SPOKANE VALLEY BUILDING PERMIT No. &3. 642_ _i
SITE INFORMATION —�'-4 PROJECT INFORMATION
Site address: I (/ n ) \ Permit use for: f aG
Parcel number: Applicant: le?/A r (^I ti N-\ 11 >)
Subdivision: Address:
Zoning: Water District: Contact:
Owner: Phone#: q a7' 'S? ( 1 Z
Address: 5 A v`/N — Project name:
City `> P1..1LQ State QA Zip O \ D 4=> Sprinklers ? Fire Alarm ? Security Alarm ?
Building Permit Information
Contractor b vJ rJ E� License#
Occupancy Group 12...z-3 Type of Construction S fJ Height Stories Total Square Feet
Category: ( 1= new,2=remodel, 3=addition,4= change of use,5=tenant improvement, 6=mechanical, 7=plumbing,
8=sign, 9= mobile home, 10=demolition, 11=Other )
Total code value $ Permit Fee $ >'--j R Plan Review Fee $ IO State Surcharge $ t--i,:0
Surcharge $ Fire Fee $ Planning Fee $ Public Works Fee $
TOTAL FEES $ 01 .3C) AMOUNT PREPAID $ TOTAL DUE$ (=7 9 -- )-z )
The issuance of this permit does not imply complete approval for construction not in compliance with the codes and standards.
NOTES/CONDITIONS OF APPROVAL '
1 cc to File—1 cc to Permit holder -1 cc to Assessor Issued by: • Date