2013, 06-27 Permit App: BLD-2013-1240 ResidenceSOkane
�,,�•��alleyR
Project
Community Development Depart ent
Permit Center yy�y
11703 East Sprague Avenue, Sui e B -3 PERMI7AUMBER:
Spokane Valley, WA 99206 (vim I�
Tel: (509) 688-0036 C V � 1 J QF.6
HIT FEE:
(Staff Use Only)
Fax: (509) 688 -0037
permitcenter @spokanevalleY.or1
SUB# I RE V,#7.._.._1
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION a ADDITION /REMODEL Ej ACCESSORY BUILDING
in DECK ,,% l ® OTHER
SITE ADDRESS: N5:24619 47' /7lr' L -Oil% (hIale
ASSESSORS PARCEL NO.• ,A(t)MLIf.LVOti LEGAL DESCRIPTION:
BUILDING OWNER NAME: ` ?1 p\ ()G`M 's')
NAME:
L►.JL illES LLL
ADDRESS:
CITY: ) Q6 l E
PHONE:
c�- 92v -)21/
Si*- 300
STATE: 1'V A-
A/
FAX: q2` 0115
CELL:
ZIP: ( -102 -' ([2
CONTACT NAME: _D , P L .J JO U.,
PHONE:
CONTRACTOR NAME: L I L H-byvres LLC.
MAILING ADDRESS: LPL} j r L4 knlit Laa 1 1
3M-612Y- ) 24 l
FAX:
M-6)195
CELL:
CITY: SCO
PHONE: &Y' _ 929- - /22-/I
STATE: y/
FAX: ‘9 2Z -0/95'
V { C
CELL:
ZIP: 9� 2L)L�
71?
CONTRACTOR LICENSE No.: 1.10.--10#1_3(9 I XPIRES: 9-/ I/ CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
* ** *YOU MUST COMPLETE THE FOLLOWING* * **
Height to Peak , . �.
Dimension , S 4,"
No. of Stories
Total Habitabl p ,,
Space: ��i
Main Floor SQ /�
���CJ
Upper " ^ ^- Cr' CT.
-
Unfinished ° ° ^ ^"` ^'-''
FT:
Finished Basement SQ
FT: .
Garage SQ FT:
627.6"2:7-44 A,.'c ce....
Deck /Covare•H D f.n SQ
FT: (,...7 /l
�
Impervious S'..f�e
Area: ----
30% Slopes on
Property:
No. of Bedrooms:
Construction Type
Heat Source: 67-7---\f
er 9r Septic:
TOTAL COST OF PROJECT: $ �
DISCLAIMER
The permitted verifles, 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 be requir:. t be submitted and subsequently approved before this application can be processed.
irffective October :, ••07
P: \Community Development \02 Administration \03 Forms - Official Versions \Permit Center \Residential Construction Permit
App 10.28.07.doc
4 _27 -/3
Page 1 of 2
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