2007, 10-10 Permit App: 07004065 Demo Deck Permit Center
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a 11703E Sprague Ave, Suite B-3
Spokane Valley,WA 99206 PERMIT NUMBER•
4,,.Va11ey- (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
WW.sp okane val le y.ort
Community Development
Demolition Commercial
Permit Application TResidential
SITE ADDRESS: /4,52.3 / /7 h ,J ,� C���Z, 6r f o37
ASSESSORS PARCEL NO:
Building Owner: Contractor:
Name: 4 Name:
Address: Address: 300 s— S 1 /as-Q L-7
City: State: Zip: CitY 4 , State: Zip ��G
Phone:9, ortO`� Fax: Phon : Q39 Fax:
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Contractor Lic Nos Sg ,�F,xp Date:
Contact Person City Business Lic.No: (�C
Name:
Phone:
Describe th scope of wo�jJ�'k i detail
de�ro C1e C�
127A site plan is provided.
o Spokane County Utilities has approved the disconnection.
o Notice of Intent #
(;K\4/1 ��,., , . �t.� C.QOJ• P\,r x/77 -4/227
The permittee verifies, acknowledges and agrees by their signature that)Ownership of this City of Spokane Valley
Permit inure to the property owner. 2) The signatory is the property owner or has permission to represent the property
owner in this transaction. 3) All construction is to be done in full compliance with the City of Spokane Valley
Development Code. 4) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
r
Signature C�� Date (C ._/6) C 7
Method of Payment:
❑ Cash ❑ Check ❑ MasterCard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 2/16/07
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