HomeMy WebLinkAbout2013, 06-28 Permit App: BLD-2013-1262 Residence W/Garage&JO -2o13
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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
perm itcenter@asaoka neva llev. orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION im ADDITION /REMODEL Ej ACCESSORY BUILDING
DECK li OTHER
SITE ADDRESS: .5--jv2 AI , LA/46403 6T
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: L k DAkotot
BUILDING OWNER NAME:
NAME: 10. idt• f `rL LL 1.
ADDRESS: va r V . i kfet e
C
PHONE: l -fa/
CONTACT NAME: DAtij gdbike
PHONE: °l /al/
CONTRACTOR NAME:
MAILING ADDRESS:
Cm:
STATE:
A
FAX: ='. 4911#6
ZI
CELL:
FAX:
CELL: °S W' 741787
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Zia v 11� (16,96 flr -t4• 4o
STATE:
ZIP:
PHONE: Cr°44-' 1' I/
FAx110 - 01675'
CELL:
CONTRACTOR LICENSE No.: toa, 4101* EXPIRES: 1.../ f `1 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
F NOT APPLICABLE
Height to Peak: / 1
Ereepor) H
No. of Stories: /
Total abitable„?
Finished Basement SQ
FT:
Main Fl r.SQ FAT:(
!•!f Y'(1M,►
Upper Floor SQ FT:
Unfinished Basement SQ
FT: ..- ..."_'„,
Garage SQ FT:
1, 00 IN
Deck /Covered attics SQ
FT: g. veal
Impervious Surface
30% Slopes on
Property: —.-- -..
-„cam
No. of Bedrooms:
Construction Type: WOOD
Heat Source: i'A (Sewer Septic:
TOTAL COST OF PROJECT: $
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 a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Effective October 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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