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-:
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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
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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