2007, 02-05 Permit App: 07000338 Siding, WindowsSpokane
.0010 Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevallev.ora
Residential Construction
Permit Application
PERMIT NUMBER: 7iO 33
PERMIT FEE:
New Construction
J5-(rAddition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS /7�e / -e` p ��/
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building Owner:
yang .....,...FA.,......
DIMENSIONS:
# OF STORIES:
Name: ,),Vti.6 ;at" t
AC�
2"" FLOOR SQ. FTG:
Address: / 7c C f -
4/t/ .
FINISHED BASEMENT
SQ. FTG:
City: 6 r adv. c,r es
State: w/}
Zip: 1 Id ft
Phone: Q ,75-- _ G(,?,
Fax:
HEAT SOURCE:
Contractor Lic No:
Exp Date:
Contact Person
Name: 4},j- e. L�oGL
99r -S-
Phone:
Describe th
scope of work in detail; -�
-- h Y
tte
Contractor:
yang .....,...FA.,......
DIMENSIONS:
# OF STORIES:
Name: /1//.
/ �'
MAIN FLOOR TO SQ.
FTG:
2"" FLOOR SQ. FTG:
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $ L06
• MUST be • (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
111C Mtiu
HEIGHT TO PEAK:
yang .....,...FA.,......
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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 information may be required to be submitted, and subsequently approved before
this application c�1 be processed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/25/2005
❑ Check
Date
❑ Mastercard ❑ VISA
Expires: VIN #: