2013, 06-19 Permit App: BLD-2013-1148 ResidenceProject
Community Development Depar$ment
Permit Center
11703 East Sprague Avenue, Suite B -3
Spokane Valley, WA 99206 I
Tel: (509) 688 -0036
Fax: (509) 688 -0037
permitcenter(a spokanevallev.orq SUB R
CS\
(Staff Use Only)
J PERMIT NUMBER:
PERMIT FEE: NTEF
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION IN ADDITION /REMODEL
DECK OTHER
SITE ADDRESS: &2/ ; /I, I \J cQ-o,U
ASSESSORS PARCEL NO.:
ACCESSORY BUILDING
LEGAL DESCRIPTION: le'l10 6OdAZ.
BUILDING OWNER NAME: li%t/ t. *145 I
NAME:
1V G 1.17tiE LLG
ADDRESS: (O p t-42./2/7,1 i~ ` '570
CITY: ,9)(444,4 (! LIZY" STATE: Alz,
PHONE: qZ 4 /0" FAX: 9e0'.- v!QTj
CONTACT NAME: Dhiti feat/444.s
PHONE: A5 f 747 ?& FAX: /22,,-
CONTRACTOR NAME: G � /.,jy -5 f 4 4 G
MAILING ADDRESS: Z7a /tJ ii»iVoir'$irj-
CITY: .61, KA/Li 1 STATE: 4/4
CELL:
ZIP: WV)
CELL: -297i3
ZIP: q g�o�
PHONE: 4/24 .-/Z FAX: 4:?2 — 477e9r- CELL:
CONTRACTOR LICENSE No.: L.d%Lf/oi&g$!LB EXPIRES: 7"9. CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
* ** *YOU MUST COMPLETE THE FOLLOWING * * **
N/A IF IILOT_APPLICAB
Height to Peak: /e)
Dimeg ,� /
No of Stories: /
S llHabitaKs
Main Fl 0
Upper Floor SQ FT:
Unfinished Basement SQ
FT: "-- ---- -+
Finished Basement SQ
FT:
Garage FT: ,�
70 i'.I!
Dedc /Covered Pa o SQ
FT: /�y 4
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: �,
Construction
Heat Source: 4
er Septic:
TOTAL COST OF PROJECT: $
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 i5 to be done in full compliance with the Cky 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 requi to be submitted and ubseguently approved before this application can be processed.
Effective O6bober 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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