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2013, 03-28 Permit App: BLD-2013-0528 Addition
Community Development Department Permit Center 11703 East Sprague Avenue, Suite B -3 Spokane Valley, WA 99206 Tel: (509) 688 -0036 Fax: (509) 688 -0037 perr, nter@spokanevalley.orq eject # 61c1-/3- 5-0-8/40- (Staff Use Only) PERMIT Nu.Iffi R: 2 8 2 an PERMITgE: -U Wren C NTLn SUB #) REV.# RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION ❑ DECK (%r4 ADDITION /REMODEL ❑ ACCESSORY BUILDING ❑ OTHER SITE ADDRESS: 7-S Ak'!- Ai ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: ¶I NAME: f) M R.PrSS L-LY ADDRESS: z 3 , ... i .N N Cr ) CITY: Qt. K AN(, v `C PHONE: C%1 �Z 6(-1 FAX: CONTACT NAME: 1-/ �l STATE: CELL: PHONE: S A ev■ A FAX: ooCELL: t CONTRACTOR NAME: MA K urL r! ol/,S -fft�L'�l0v( 6.f.) . J°hsotA_ M 11:ZOL4� MAILING ADDRESS: P O I� o 6 I' CITY: tile (A O L l e STATE: [A 1 ZIP: 9°037 PHONE: 362 - 3 ®$Z FAX: CELL: S 19M CONTRACTOR LICENSE No.: M A KWIC( 13S-C6EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: }?EsItag kin 1,SN )TioN. upPE R FL-ook Ml 7-Efz RATH 4 - ,41 - -9k) GI- oSE'r. L /14g- 0» 'lAMI�.1-tEi .3R*/ E * ** *YOU MUST COMPLETE THE FOLLOWING * * ** NOT APPLICABLE Height to Peak: 40 Dimensions: 1®',� 1`7' No. of Stories: To Habitable_ S� S ce: Main Floor SQ FT: i 70 Upper Floor SQ FT: as s Unfinished Basement SQ FT: i °I d F1oiished ,s ent SQ FT: �/ Garage SQ F : Al � Deck /Covered Patio SQ FT: N 1 A Impervious Surface Area: Ai f 30% Slopes on Property: A.. k No. of Bedrooms: it/ [A- Construction Type: �^ Heat Source: NVkL Sewer or Septic: 56i4Jbi TOTAL COST OF PROJECT: $ 0 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 federate state or local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted and subsequently a. proved beforle this application can be processed. I) Pr IVEAJT- 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 Gonjp.prcre* : NI A K\NTL 6, Po &OX b1(6 V e r o . . t ) of ( e ttJA , °1 °2 ©3 OLU)) : T1 M , -R-sSL Etf 2311 S• Qq/OfurU SPokA n)r¢ UAU,6Y \AM./ °t°1 .t,6 pop, 6.i NE 64' O Aie Cm NKR e re o' pfo.,tvtw/t�( APPRo.RCH Project # bid-13 zE RECEIVED I AR 2 8 2013 CSV PERMIT CENTER SUB # REV# T .se WE 7Z IL 6770t('ru.6g 41111-1" G0R11 o peu 1; 140 -rsrac 111 63osF 11526-?. /703 pRoPOSGD RDD1Tlato * 6X isr f seweE. U!\Th& piD1710N. Co NT fOrGTo R TO CG FIRti L1.gvAn-'oN. 1T 1�L'L Th 16Qu1 R IT IA) 1/,.c po tJ e• R ATI=I-`r. d 21-/ crwm.gvER cokt osi- PLANNING DEPT. APPROVED 3\\ B/CWOE SPoIc.p uC VALi..E'f \ A) °1gztb x i"6"- 1(! e//' 3