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2003, 08-13 Permit App BLD-03-02218 Fire Damage RepairStiolane 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit RESIDENTIAL ADDITION/REMODEL Job Address: 15402 E BROADWAY AVE SPOKANE WA 99216 Description: FIRE DAMAGE REPAIR TO KITCHEN AND DINING ROOM (ROOF INCLUDED) Subdivision: Owner: Applicant: Address: Contractor: Address: ELAIMY, LAITH F & ABEER S MR SERVICE INC 728 N COOK ST SPOKANE, WA 99202 MR SERVICE INC 728 N COOK ST SPOKANE WA 99202 Lot: Blk: Application #: BLD-03-02218 Applied: Issued: Expires: Parcel No: 45144.0104 Phone: (509) 535-8801 Phone: Lic No: (509) 535-8801 MRSERI*207B1 Zoning: 08/13/2003 02/09/2004 General Information: VALUATION REROOF SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 16370 N no no Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits/Receipts: Total Due: 111.70 279.25 4.50 395.45 395.45 0.00 401-- An THIS IS NOT A RECEIPT i i Walley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: J S LI V ERYYRX ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: PERMIT DESCRIPTION-: � y l(LLv 3 S. 'c!I fS BUILDING PERMIT D CHANGE IN USE • • a.GRADING ® RELOCATION SQ.i " s, SIGN 13 TENANT r•- re I 1.,rvtae ® MANUFACTURED .HOME EIOTHER iOWNER / APPLICANT INFORMATION 4 OWNER: ._t1v1IL+ PHONE: JG'•71S FAX ADDRESS: CITY,STATE, ZIP ® 1 {'�.Y . S CONTRACTOR: i�VlCl� PHONE: 53c�v( FAX: S 3 W ADDRESS: c %- ( C) c'�ectfir,.-r CITY,.STATE, ZIP WA ST CONTRACTOR LICENSE # I ARseR- v 7 S r . APPLICANT: ktr _ Ir V IC Q L'i.c ) PHONE:5 �'.Jg0 II FAX: c?]0--lSj ADDRESS: --7oD g ) . Cook.. CITY, STATE, ZIP ARCHITECT: PHONE: FAX: ADDRESS: CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: 163161 O BUILDING HEIGHT TO PEAK: BUILDING DIMENSIONS: NUMBER OF STORIES: NUMBER of BEDROOMS: DATE: i METHOD OFPAYMENT: 30% SLOPES ON PROPERTY: CICCUPANCY GROUP: CONSTRUCTION TYPE: UNFIN BASEMENT: MAIN FLOOR SQ FT: 2ND FLOOR SQ FT: STRUCTURES ON PROPERTY: FINISHED BASEMENT: CRITICAL AREAS: GARAGE: STAFF: 1 CASH CHECK VISA BANKCARD #; AUTHORIZED SIGNATURE" EXPIRES: VIN# *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD