2013, 09-06 Permit App: BLD-2013-1798 ResidenceS�,�, �,� Permit
po ne 11707 E Sprague Ave, Suite 106
ValleValle Spokane Valley, WA 99206
y (509)688 -0036 FAX: (509)688 -0037
Community Development www.spokanevalley.org.com
Residential Construction
Permit Application
O New Construction
❑ Addition/Remodel
❑ Other:
❑ Accessory Bldg
❑ Deck
SITE ADDRESS 173o5 f . 6gidw,�
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Lo, Z 5 h11' 'DS -OF
Name: D goc IC Ca,�.s 1-
Address:
City:
Zip:
Phone:
Fax:
outact Pecs,
Name: ¶7\
Phone: 2 t c(- (19 2 (1
Describe the scope of work in detail:
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i
Name: (qu...K0A.G1 Roc.- k CehAS
Address: Z opz 4/, Su /1 %Ito ,ed
City:
Phone:
_Fax:
Lic No: Exp. Date:
City Business Lic No:
s: L.. is U Lkj
CSV PERMIT CENTE
SUB 11-) :t0 PFP.i,g0: I $ `3,000
I
* * * * * * * * * * * ** *The following MUST he com lete• ( •t N/A •
HEIGHT
p . writ a 11 HUL appucame) www * * * * * * * * * * * * * * * * **
TO PEAK:
Z%
DIMENSIONS:
3a'X3VG"
# OF STORIES: .z
TOTAL HABITABLE SPACE:
Zt31
MAIN FLOOR TO SQ.
FTG: I R b
l
2ND FLOOR SQ. FTG:
12 3•
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: ""''
GARAGE SQ. FTG:
y $0
DECK/COV. PATIO SQ. FTG:
110
30% SLOPES ON
PROPERTY: 4'/i1
# OF BEDROOMS:3
DISCLAIMER
CONSTRUCTION TYPE:
lAaoo d Prix vim.
HEAT SOURCE:
Na f �p 1 &P,5 Fur ✓laet
SEWER OR SEPTIC?
5 e wer
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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.
Signature
faug
Date ?-4-13
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN #:
Authorized Signature:
REVISED 8/25/2005
❑ Other