Address DocumentationSo S.
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CITY OF
Spokane
Valley. YE ' E
CITY OF SPOKANE VALLEY - "T
Community Development Department1'--
Permit Center - eu --- �
11703 East Sprague Avenue, Suite------
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Spokane Valley, WA 99206 t _ - �I
Tel: (509) 688-0036 ' 8"= '='�--_-�— jukFax: (509) 688-0037
permitcenterCa spokanevalley.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
-PERMIT NUMBER:
PERMIT FEE:
(Staff Use Only) (2y»,�,^
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® NEW CONSTRUCTION
❑ DECK
SITE ADDRESS: RIVERCREST DR.
ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ OTHER
ASSESSORS PARCEL-NO.:45045.1601
RIVERCREST AT COYOTE ROCK
"LEGAL DESCRIPTION:LOT 34 BK. 1
BUILDING OWNER NAME:
NAME:
ADDRESS:
Cm:
STATE:
PHONE:
Fax:
CONTACT NAME:
PHONE:
Fax:
CONTRACTOR NAME:VICTORY HOMES
MAILING ADDRESS:2120 NORTHWEST BLV. STE. "B"
CM:COEUR DALENE
PHoNE:208 777-7000
9520
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STATE:IDAHO
FAx:208 457-8043
ZIP:83814
CELL:208 699-
CONTRACTOR LICENSE No.:VICTOH966NB EXPIRES:8/2/12 CITY BUSINESS LICENSE NO.:601
926 192
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
SINGLE FAMILY RESIDENCE
PROPOSED USE: