2013, 05-16 Permit Application: BLD-2013-0944 Deck AdditionS`1„ tr{ ane
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B -3
Spokane Valley, WA 99206
Tel: (509) 688 -0036
Fax: (509) 688 -0037
permitcenter(o spokanevalley.orq
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PERMIT Ea:2 2013
PERMIT FEE:
CSV PERr,IT
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SUB # f L I H~V. #1
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
OMNI
❑ NEW CONSTRUCTION ❑ ADDITION /REMODEL ❑ ACCESSORY BUILDING
DECK c 111 OTHER
SITE ADDRESS: ( -To g S eh v 2 tV - r. V� J o) '/ f kt-cm V (e G
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: I) Y Thy] yreA
NAME:
ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTACT NAME: -e,\,(`.,b' Vr'iy � y
PHONE:, N--/() V &v
CONTRACTOR NAME:L ea.0 CD n;S G/ h
FAX:
MAILING ADDRESS: P. 0) , 13o-A 13o-A ✓ ( )
CELL:
idia40
CITY: Os FitS
STATE: ' D ZIP:
PHONE: (Q b 0 l Db l
- FAX: CELL:
CONTRACTOR LICENSE No.: 014 L xPIR� w 4/14)16 CITY BUSINESS LICENSE NO.: ta" gg ii_ sz
io
DESCRIBE THE SC9 OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: / �G �/ z
!ix' /7dd +t 0 r� 'Fo I z )(15 O« �C — Rep (a�c - S' i r5 C'il
(over
Height to Peak: 17 ft
* ** *YOU MUST COMPLETE THE FOLLOWING * * **
MARK N/A IF NOT APPLICABLE
No. of Stories:
Dimensions:
Total Habitable - - -
Space:
Main Floor SQ FT.
Uooer Floor SQ FT:
Unfinished Basement SQ
FT: nia
Finished Basement SQ
FT: n/a
Garage SQ FT: Deck/Covered Patio SQ
CT
No. of Bedrooms: ❑/a 1 Construction Type:
Impervious Surface
Area: na
30% Slopes on
Property:
na
Heat Source: forced arc
Sewer or Septic: ..we,
TOTAL COST OF PROJECT: $ 5 3 fr) ,Q410
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is /will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
inform - • may be r =• • .. to be submitted and subsequently approved before this application can be processed.
Effective 0 . •fir Or Page 1 of 2
P: \Community •evelopment \02 Administration \03 Forms - Official Versions \Permit Center \Residential Construction Permit
App 10.28.07.doc
SCI MAP
iioSs. Par
32.4
0
16.19
32.4 Feet
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