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2007. 10-18 Permit App: 07004201 Demo Residence, GarageProject Number: 07004201 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: DEMOLITION OF EXISTING: (1) GARAGE (1) Contact: LARSON'S DEMOLITION RESIDENCE Address: PO BOX 4535 C - S - Z: SPOKANE, WA 99202 Setbacks: Front Left: Right: Rear: Phone: (509) 535-7944 Group Name: Site Information: Project Name: Plat Key: Date: 10/18/2007 Page 1 of 2 Name: CORBIN ADD TO GREENACRES District: East Parcel Number: 55173.0623 Block: SiteAddress: 504 N BARKER RD Location:: CSV Lot: Owner: Name: RCH, LLC/GRIMM FAMILY TRUS Address: 2815 VIA POSADA LA JOLLA, CA 92037 Zoning: B-3 Regional Business Water District: Hold: ❑ Area: 31,543 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Sewer Review Permits: Released By: Released By: Demolition Permit Contractor: LARSON'S DEMOLITION INC Firm: LARSON'S DEMOLITION INC Address: PO BOX 4535 Phone: (509) 535-7944 SPOKANE WA 99220 Item Description DEMOLITION - RESIDENTIAL DEMOLITION ACCESSORY Units Unit Desc 1 NUMBER OF 1 NUMBER OF Operator: JD Printed By: JD Fee Amount $44.00 $20.00 Permit Total Fees: $64.00 Print Date: 10/18/2007 Project Number: 07004201 Inv: I Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/18/2007 Page 2 of 2 Payment Summary: Permit Type Demolition Permit Fee Amount $64.00 $64.00 Invoice Amount $64.00 $64.00 Amount Paid $0.00 $0.00 Amount Owing $64.00 $64.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JD Printed By: JD Print Date: 10/18/2007 Spokane��� .Valley - Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 vv .suokanevalle _RCEIVED BY CITYOCF SPOKANE VALLEY OCT 1 8 2007 PER Demolition Permit Application SITE ADDRESS: 504 N. Barter RV X PERMIT NUMBER: PERMIT FEE: $ ( (4. 00 Commercial Residential ASSESSORS PARCEL NO: Building Owner: Name: Mr. Craig Cr_irrm Address: 2815 VIA > csacla City: LA JCLLA State: Com, Zip: 92037 Phone: 760 822-6479 Fax: 858 554-0419 Contact Person Name: .Teff T Phone: 509 994-3995 Describe the scope of work in detail Derrril1tirn/Eorrrrral F1-11sc= aryl (7 racp Contractor: Name: Larsn's Darcaitiert. Inc. Address: P.O. Pax 4535 City: spj,Eine State: Dini Zip: 99220 Phone: 509 535_7944 Fax: 509 535-8087 Contractor Lic No: Exp Date: T nR9-1-11164pr i 17/1 /7(ln7 City Business Lic. No: 6005256997 or A site plan is provided. (st Spokane County Utilities has approved the disconnection. ck Notice of Intent # 04 - 0334 The permittee verifies, acknowledges and agrees by their signature that: 1) 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 ri is granted by any issued permit inure to the property owner. Signature �O ?fit'-� Date 10/18/2007 Method of Payment: ❑ Cash ❑ Check n MasterCard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 2/16/07