2013, 04-04 Permit App: BLD-2013-0576 ResidenceCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B -3
Spokane Valley, WA 99206
Tel: (509) 688 -0036
Fax: (509) 688 -0037
permitcenter @sr okanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
SUB 4
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
KNEW CONSTRUCTION ADDITION /REMODEL
DECK INS OTHER
SITE ADDRESS: a3 11-7 1.1. Q Lo 14
ASSESSORS PARCEL NO.:4 �'4' /
y 5 7.,
BUILDING OWNER NAME:
13 ACCESSORY BUILDING
LEGAL DESCRIPTION: 1,0 b gLK. . P-arg ADthh
NAME: IA■11 - 14911vt' WV
ADDRESS: 510 I' [`JK 2
CITY;
1190r_64. ��j V A U4-711 STATE: W p ,
PHONE: ISA/ IZlj FAX: 51--o I 4
CONTACT NAME: D L.LI GK
PHONE: el�� FAX: j — d 11
CONTRACTOR NAME: L44L 14atifE LL.-
MAILING ADDRESS:
Cm:
PHONE:
124 -IZII
CONTRACTOR LICENSE No.: Ikt(L.SSiL
ZIP:
CELL:
CELL: 5111-' 14l
STATE: p . ZIP: 112o
FAX: 1 g.1-
�?
EXPIRES: 1,-14f-14
CELL:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
140 F. pall. 6.0 Jaw)
* ** *YOU MUST COMPLETE THE FOLLOWING * * **
IF NOT APPLICABLE
Height to Peals, i
't�0
Dimenfsio s: i it
"ID '011 41 'O
No. of Stories:
Total Habitable A
Space: I /44'8
Main Floor SQ
Ill 0•
Upper Floor SOFT:
IS'
Unfinished Basement SQ
FT: ------
Finished Basement SQ
FT:
Garage SQ
440'
Deck /Covered Patio SQ
FT• 101°
Impervious Surface
Area: ■—__—
30% Slopes on
Pro erty: _____---,.
No. of Bedrooms:
Construction Type: Om p
Heat Source:Z 4.
Sew or Septic:
TOTAL COST OF PROJECT: $ J L
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 r- .. - • to be submitted art ubsequently approved before this application can be processed.
Effective October 28, 2007
P: \Community Development \02 dministration \03 Forms - Official Versions \Permit Center \Residential Construction Permit
App 10- 28- 07 -doc
Page 1 of 2
0
ANA i(7 PAD.
t)LwNNtNG DEPT. APPROVED
BY 1
DATE.
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