2014, 02-10 Permit App: BLD-2014-0196 ResidenceCommunity Development Department
Permit Center
Slitikine 11703 East Sprague Avenue, Suite B -3
Tel: (509) 720 -2540
Spokane Valley, WA 99206
400 Fax: (509) 688 -0037
Valley permitcenterCasookanevaliev.oro
1
RESIDENTIAL P RMIT APPLU f N
__.
[ NEW CONSTRUCTION ❑ ADDITION /REMODEL ❑inipUILD
❑ DECK ❑ OTHER
SITE ADDRESS: (.) C /3'9 tr 17V LEGAL DESCRIPTI • ` -
ASSESSORS PARCEL NO.: f
BUILDING OWNER NAME: `-di
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RMIT CENTER
NAME:
ADDRESS:
Cm: Si 1
lL\
PHONE:
3-64
CONTACT NAME: .31^ ti t
cl z �?- . -1'(3 7
'PHONE: �=�. � (( I
L t&L-L I/ Work.
CONTRACTOR NAME:
MAILING ADDRESS: Po
Fax: TO' -2 r'
v
% ? STATE:
CITY: , _ — •
FAX(5'
CONTRACTOR LICENSE No.:P{Ag.K14 41 674 D K EXPIRES:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
CELL: 5 a41. _ .'
6-(, 41 CELL: `G' S
CITY BUSINESS LICENSE NO.: I i z(J 007..'(0 q /31,t'
Height to Peak: IG
Main Floor SQ FT:
i ?,i Y) SC) P
Garage SQ FT:
/WY 3) Fr
No. of Bedrooms: 3
* ** *YOU MUST COMPLETE THE FOLLOW;
MARK NJA IF NOT APPLICABLE
Dimensions:Z,r,�,3 ,
Upper Floor $Q FT:
Deck /Covered Patio SQ
FT: ./.:ii
Construction T • e:
NG * * **
No. of Stories:,
Unfinished B ment SQ
FT: A)
Impervious urface
Area: ')4' .5+:? ; f
Heat Source:
Total Habitable
iZ��iQ
Space:
Finished Basement SQ
FT: ,Lid
30% Slopes on
Property:
Sewer or Se • tic:
TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted potable water. 2) Ownership of this City of Spokane Valley ipermit inure to is the property owner. 3) The signatory dwelling,
s the property
be
wn by 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 permit is not a permit ore approval for any violation iofffede ale state or local laws, odes oralordinances. C6)t Plans or additional
Spokane Valley
information may be required to be submitted and subsequently approved before this application can be processed.
Date:
Signature
Updated 1 -11 -11
http:// www .spokanevalley.org /filestorage /124/ 938 /210/948/1496/2743/Res_Permit. oc
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P/J139■-, 9. ,!.:;' I MARKHAvl 110 ES II 11C. 1 11
Cri 9 2 '-' w F 1,.....
,;, 5gA Fillarketing Plan
51 , P.O. BOX 610 LIBERTY LAKE WA 99019
,- TELEPHONE (509) 927-1437 i
BORDER EASEMENT
w
UTILITY EASEMENT ',
LOT: 1
BLOCK: 1
0E0: CENTENNIAL
PLACE
OWNER:
Mai kham
Homes
Inc