2013, 03-08 Permit App: BLD-2013-0379 ResidenceSpokane
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B -3
Spokane Valley, WA 99206
Tel: (509) 688 -0036
Fax: (509) 688 -0037
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PERMIT NUMBER:
'FE PERMIT CENTE
PERMIj1 FED:
3
LJ CD --
MV.
yo NEW CONSTRUCTION ❑ ADDITION /REMODEL ❑ ACCESSORY BUILDING
❑ DECK ❑ OTHER /� '/ nil SITE ADDRESS: Slv! iV . 4'V4L041 &-‘712E-Er 5 ibILi4i' t(ii- .L-44 nil Ql iz,
ASSESSORS PARCEL NO.: 4/6544, 2006, LEGAL DESCRIPTION: Lt., L33 Qb%;2/ AAA
BUILDING OWNER NAME:
NAME:
LAIL bin LLc-
ADDRESS: 2►o 1V . IIL /o vaci
gD
CITY: J PIIt..'4AJ
PHONE:
CONTACT NAME:
DA-A/ &A/rIv/aaz'
FAX:
s ,3 //o� 0
STATE: L1 (�T
-a/95
CELL:
ZIP: 992-a6
26
.5WW- 7971
PHONE:
-9995 FAX: 9z2 a0_S
CELL:
_6W-797g
CONTRACTOR NAME: LAI L /17L $/ �LnLC
12i dl/. II4�gt'2I //Y 1e1
MAILING ADDRESS:
CITY: $('OevE I/ L.L.0 ! STATE: y� WA
/
PHONE: �J % / / / sg FAX: % L)
CELL:
Zip: 9,2o l,
CONTRACTOR LICENSE No.: L//L /k1/ 'LBB IL (EXPIRES: 7 / 9 ZO 17 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
* ** *YOU MUST COMPLETE THE FOLLOWING * * **
MARK N/A IF NOT APPLICABLE
iiHeight t peak•if
-63.
Dimensi ns: tl 1 fr
.4e- O x.11-6
No. of Stories:
I
Total Habitable (�
Space: 141d
Main F�q4 S FT:
`� L"
Upper Floor SQ FT:
Unfinished Basement SQ
FT: d- _.
Finished Basement SQ
FT:
GiJJ
Garage SQ FT:
(4010 111
Deck /Covered patio SQ
FT: /49/ g
Impervious Surface
Area:
30% Slopes on
Property:
,,,.___,.
No. of Bedrooms: :{
Construction Typq(Q j/}9/)
Heat Source: (JC`
Sewe)or Septic:
TOTAL COST OF PROJECT: $[XV
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
information may be required to be submitted and subseque ly approved before this application can be processed.
Effective October 28, 2007' '/ Page 1 of 2
P: \Community Development \02 Administration \03 Forms - Official Versions \Permit Center \Residential Construction Permit
App 10.28.07.doc
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