2013, 06-19 Permit App: BLD-2013-1150 ResidenceProject # �� -l.3 --tip
RECEIVE -
Communi Development Department
Permit
11703 Eas Sprague Avenue, Suite B -3
Spokane Valley, WA 99206
Tel: (509) 688 -0036 R M T rr
Fax: (509) 688 -0037
pertn itcentgr®spoka nevalley. o rt1
(Staff (Staff Ua Only)
PERMIT NUMBER:
PERMIT FEE:
■
REV. -I
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION
to DECK
$ ADDITION /REMODEL le ACCESSORY BUILDING
JO OTHER
SITE ADDRESS: G> 2 14 14. [avt,L.
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: for ftelxii,21.
BUILDING OWNER NAME:
NAME: 1,.. 4
ADDRESS: 0 b i i.l I `DeJ ^0
CITY: '• STATE:
PHONE: 1Z i iZ t
CONTACT NAME: n ` e61.1t..1464GL PHON q E: Gym f i LEI !� FAX: i 21- 07146
CONTRA CTOR NAME: Lab. t4le,„ LLG
FAx: 112 , of
CELL:
ZIP:
CELL: 1114%f .11/3
MAILING ADDRESS: "lam tO /4. U u,N 4- - t 4 �4 '
CITY: /7 fa f_-,i Y Qf,.r fy ' " + 'STATE: I.L. ZIP: Gi 1 er6
PHONE: 1 - 12 11 FAX: _ j -pi 15 CELL:
CONTRACTOR LICENSE No.:(,44t,pOVB4I kg, EXPIRES: '.tq.1'4 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
* ** *YOU MU*T COMPLETE THE FOLLOWING * * **
Height to Peak: G He, (
Dimen47f: 1 (
`j�
■ far a ihi V/'IYE..L
No. of Stories:
Total Habitats 4
Space: j
Main MT SQ, r j,
��jj
Upper Floor SQ FY�
Unfinished Basement SQ
FT: - �--'^'
Finished Basement SQ
FT .... -----
Garage FT: _(.,
(W
Deck /Cov Patio SQ
FT: l�
Impervious Surface
Area: —
Neat Source: eik, .G- i'S
30% Slopes on
Property:
e r Septic:
No. of Bedrooms: ' i
Construction Type: J D
TOTAL COST OF PROJECT: $
.12v
D SCI AXMER
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 Oty of Spokane Valley Permit Center. 5) The C1ty 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 req be submitted and subsequently approved before this application can be processed.
Effective ter 28, 2007 00
Page 1 of 2
P: \Community Development\02 Administ atkon \03 Forms - Official Versions \Permit Center\Residential Construction Permit
App 10.28.07.doc
PLANNING DEPT. APPROVED
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JUN 19 2013
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