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2013, 04-18 Permit App: BLD-2013-0676 Residence W/Garage
SOOkane •Valley. Community Development Department Permit Center 11703 East Sprague Avenue, Suite B -3 Spokane Valley, WA 99206 Tel: (509) 688 -0036 Fax: (509) 688 -0037 oermitcenter ©spokanevallev.orq /kb-zto3 -o(-7( (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION NEW CONSTRUCTION MI ADDITION /REMODEL$ ACCESSORY BUILDING DECK 51 OTHER SITE ADDRESS: 372.2s- AZ , , t OA / ASSESSORS PARCEL NO.. :45,/® /2o LEGAL DESCRIPTION; I/2/ 4,0,e/ (.5e} BUILDING OWNER NAME: NAME: //Oz._ // m LZ.2 ADDRESS: 2 10 / Y + (,/Ni /C /l S / NJ STE, CITY: PHONE: CONTACT NAME: _ /C AJL))GZ..--- v ��^�-yP�v;J1 r y�/ STATE: t? A" .� o 727' ` ILI / FAx: CELL: ZIp: 2-6(1 _Y)9 :oW -797g PHONE: Sig.- - 1 i'7 _ /2"/ / CONTRACTOR NAME: LAJL FAX L6Z f fi 60/41c 1-J64 L L L CELL: _D(J/ 79 71 MAILING ADDRESS: f 211 �� //V r (�/ /V'LJL /1,.7 / / / /W SE' ,�z/L CITY: $P/WEirli�i.Lk ,yam ��% / STATE: 1/1/4 PHONE: 5L) ?— 99 - /Zf/ FAX :�t)Q- 422 -D1V ~ CONTRACTOR LICENSE No.:L a /40-i Laa 1 L4; EXPIRES? -19 ZIP: 972d , CELL: 5-09 -± f1 - 797g, CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: * ** *YOU MUST COMPLETE THE FOLLOWING**** Height to Peak: G / Dimensions: , 5.! `,' -�2 No. of Stories: / Total Habitsb�yyee /� Space: l�� tJ Main Flooc SQ FAT, iC >v U Upper Floor SQ FT: Unfinished Basement SQ FT: — Finished Basement SQ FT: _ Garage SQ FT: 41./ 47470 Deck /Covered Patio Q FT: f /"t I Impervious Surface Area: _ 300/0 Slopes on Property: _ - No. of Bedrooms: <3 Construction Type:Wag) Heat Source: 64-s ?ewer):or Septic: TOTAL COST OF PROJECT: $ 3- oao 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 of a permit or .pp oval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be req d to be sub . tte and subsequently apgproved before this application can be processed. Effective Oct P: \Com er 28, 2007 Page 1 of 2 nity Development \02 Ad, inistration \03 Forms - Official Versions \Permit Center \Residential Construction Permit App 10.28.07.doc 616" UT 06 d.t►u.Ty kildotiNkr Lof E71,94:, I P-27rfri &ppl-n9q z,9 tip 0!-^r B`(..__ P1,,, 0 P-.._5//4/4. 14: -011 1414 Pb Pk ML a4l -011 1.11,dil, Pg \Jftub.Y N . LvbLDi`I 1 , '_t?"