2013, 08-15 Permit App: BLD-2013-1612 ResidenceStitikane
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Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B -3
Spokane Valley, WA 99206
Tel: (509) 688 -0036
Fax: (509) 688 -0037
permitcenterColspokanevallev .orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
`3 -((c ■ 2
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ® ADDITION /REMODEL ai ACCESSORY BUILDING
® DECK ® OTHER
SITE ADDRESS: 522 A), f% /'7 /(.9 L L/ 7 5 E
ASSESSORS PARCEL NO. LEGAL DESCRIPTION: f G° AmiJ pi -.?
BUILDING OWNER NAME:
NAME: Lkj L 61 ES LLC_
ADDRESS: 21o, e LR tI i ✓ 71.01 ;
CITY: Fb E 1' k'LLE Y
_563 9 2q -)21I
PHONE:
Sires 3001
STATE'
VVAC SV P ....
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FAX: �� Dig \CELL:
�o 95 CELL:
CONTACT NAME: J ( P ki d ne.. -
PHONE: SM- C'2`/, )2.-/ FAX: q 22-
CONTRACTOR NAME: L,J L t— j LL (-
MAILING ADDRESS: 213 , LA kit VIV-S 1
CITY: V/Ati L
ZIP: (742d4:9
�qQ 7g 7S
PHONE: SL/' 919-12-n
FAX:
STATE: WA-
(9 2z - 95 -
ZIp: 9CZao
J) /j CELL: 5 Ci -7J 7
CONTRACTOR LICENSE No.: LA L -Ilan .9811. XPIRES: 7 /9' // CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDIC /ATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING * * **
MARK N/A IF NOT APPLICABLE
Height to Peak : / /
01 / to
Dime sior. /
/ X l�
No. of Stories:
�'
Total Habitab•
Space: �(Q�IL =.
Main Floor SQ/,,6
,y
L J
Upper `I - cn cT•
Unfinished °- - °- - -e '
Finished Basement SQ
FT: -
FT:
Garage SQ FT:
/23--r/
Deck /Co%vorpr ot.n SQ
FT: /3_c
Impervious S'•-F. -
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction T
YPeO
Heat Source: '�
(-7-/-/—s f
(
Sewer Septic:
TOTAL COST OF PROJECT: $ C.. .)
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 permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information ' be requlr t be submitted and subsequently approved before this application can be processed.
effective October l 2)007 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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