2014, 02-10 Permit App: BLD-2014-0195 Residence*Wane
Valley.
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B -3
Spokane Valley, WA 99206
Tel: (509) 720 -2540
Fax: (509) 688 -0037
ermitcenterCas . okanevalleN .oro
RESIDENTIAL CONSTRUCTION PER
❑ ADDITION/REMODEL
0 OTHER
rig NEW CONSTRUCTION
0 DECK
SITE ADDRESS: / AUl) 6 B9G Jt'y
ASSESSORS PARCEL NO.: 40I
BUILDING OWNER NAME:
NAME:
ADDRESS:
Cr
m: J
PHONE: (-Tat
CONTACT NAME: ( A,
'PHONE: gig ,.. --1Z- v-t.3 7
CONTRACTOR NAME: ,\.'{ c �ltcvvA_
MAILING ADDRESS: fit)
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
Project # 14 -01q6-
IT APOIRMYEVIQ
❑ ACCESgOit' -DIN
OSV PERMIT CENTER
LEGAL DESCit
Fax: 5D' - %Y _''
i I
CELL: 67-A4 -
STATE:
FAX( / 6i 6,`i "1
CONTRACTOR LICENSE No.: M i~ i4 N 1 - C :,Z D iC EXPIRES:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
CITY BUSINESS LICENSE NO.: I i ZU
* ** *YOU MUST
Height to Peak: ,
Main Floor SQ FT
•
t _. ? uL✓ I.-1
OMPLETE THE FOLLOW
M R N I OT APPLICABLE
Dimensions:
0 Y601
Garage SQ FT:
A/() SQ /1
No. of Bedrooms:
Upper Floor SQ FT:
:-i
Deck /Covered Patio SQ
FT: zoF.r
NG * * **
No. of Stories:
Unfinished Basement SQ
FT:
Impervious Surface
Area: 7.R.,
Heat Source:
Total Habitable
S • ace: 5S4)(7-1
Finished Basement SQ
FT:
30% Slopes on
Property:
q ,cc:
TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted potable acknowledges tr. 2) w and agrees by their signature that: 1permit inure is for construction or on a
property owner. 3) The signatory atory s the property
be nerved by permis water. 2) se Ownership of this City r Spokane Valley p
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 a s not a permit or approval for any available
of f federal, state or local laws, codes oralordinances. C6)t Plans or additional
Spokane Valley permit approved before this application can be processed.
information may be required to be submitted and subsequently app
Date:
Signature
Updated 1 -11 -11
http:// www .spokanevalley.org /filestorage /124/ 938 /210/948/1496/2743/Res_Permit. oc
Page 1 of 1
UTILITY EASEMENT
BORDER EASEMENT
-c;17 rq6
04
P1
LU (N1
2 I
z
=1.1
0
LU
40 J
X
C5
• '
CI"
17017 E 11:41:1wilt
L0'1`: 3
BLOLK 2
DEV
OWNER:
Rom.