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2013, 11-12 Permit App: BLD-2013-2330 ResidenceSpokane 4000Valley. Community Development Department (Staff Use Only) Permit Center 11703 East Sprague Avenue, Suite B -3 PERMIT NUMBER: Spokane Valley, WA 99206 Tel: (509) 688 -0036 - -F Fax: (509) 688 -0037 oermitcenterOsDoka nevalley.orc Project # RECEIVED RESIDENTIAL CONSTRUCTION PERMIT APP, UCATIQN NEW CONSTRUCTION D ADDITION /REMODEL gl ACCESSORY BUILDING 0 DECK g OTHER CSV PERMIT����`�`� LATER SITE ADDRESS: /7 31 9 E. .84,6) W i rt 4ik , life �(Jf ASSESSORS PARCEL NO 5S0 73, 3A.OS LEGAL DESCRRPTI�NV EV. 1 BUILDING OWNER NAME: gic 1ta rd / /`e/ NAME: G�I4I^r k ADDRESS: a.c .0 Lyne p,b /ad 14/ CITY: LJber*) L4Kt STATE: I[) ,q z.: 9.2e1 PHONE: ,3TE 9VfJ FAX: .-el Q g..`,J' 6- --6vQcg. CELL: s-O7 - 879 -3335 CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: CITY• • STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN ETAIL AND INDICATE USE & PRO9POSED USE: NNr4� Cons-i-r © 7D" ' ' "% J 's /'de1,7Ge_ * ** *YOU MUST COMPLETE THE FOLLOWING * * ** MARK N/A IF NOT APPLICABLE Height to Peak: / (25 Dimensions: / JQ,x ?l( No. of Stories: Total Habitable Space: /9G Main Floor Q FT: Upper Floor SQ FT: Ss Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: 2/$ Deck /Covered Patio SQ FT: 60 Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ /76 �&C /40t!l 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 submi t nd subsequently approved before this application can be processed. Arrprity Signature Date: // i Jc Updated 1 -11 -11 Page 1 of 1 http: / /www.spokanevalley.org /filestorage/ 124 / 938 /210 /948 /1496 / Building_ Permit_ _Residentiai_11- 11- 11.doc