2012, 11-08 Permit App: BLD-2012-2030 ResidenceSf6kiine
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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RECEIVED
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PERMIT NUMBER:
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ADDITION /REMODEL [l ACCESSORY BUILDING
1111 DECK M ,t .�/ M M / IJ OTHER �
SITE ADDRESS: 5 T LI / /0 L A ,�POK - V Ut' L 141- 997_/ -
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: `. , 2 m -/711 pill Pw 2-
BUILDING OWNER NAME:
NAME: Lk +( ,�I 1 {E % 112._ C"/`), �/y
ADDRESS: L I l3 i UI1 V iS I ST E- 3C/
CITY: e aI 6T" E I JLL_I_/
PHONE: _JV i - '2LF)Z /'
CONTACT NAME: _N P c i N N C1C
-
FAX:
PHONE: S /- Q'7' )2—/ ! FAX:
CONTRACTOR NAME: LtJ L M
MAILING ADDRESS: 211.) 0, LA IUD t ' t fi
STATER: WA' ZIP: q'�"• er
J2V- UI l CELL: % s� / 7zg
C/22,01 / ✓ CELL: SCI / .! TJ
LL C-
CITY: gUk71/4_1_ L STATE: WA-- ZIP:: er: XlJ
PHONE: L G 27- / / FAX: A22 -1 195 CELL: 7
CONTRACTOR LICENSE No.: LA/_ ernab
iL XPIRES: 7--/q111( CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
* ** *YOU MUST COMPLETE THE FOLLOWING * * **
Height to Peak: ca6:6 #
Dimensions,,,;' /
Y
No of Stories: 2
Total Habitable/e77 e'
Main Floor SQh� �
Upper ° " ^_ cf1 CT. .,_L
Unfinished B e t S
FT :�
Finished Basement SQ
FT: ....A--
Garage SQ FT: �1 ,/
cam /5 a
Deck /Covered Patio SQ
FT: A' 6(
Impervious Surface
Area: --.
30% Slopes on
Property:
r
No of Bedrooms:
Construction TypeWa9f)
Heat Source: (-/? 'S (
Sewer Septic:
TOTAL COST OF PROJECT: $
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 permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information ,je y be requlr -. t be submitted and subsequently approved before this application can be processed.
ffective October :, ••07 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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