2014, 04-16 Permit App: BLD-2014-0796 Residence1
.000Valley.
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720 -2540
Fax: (509) 688 -0037
permttcenterrla sookanevalle% .ors
RESIDENTIAL CONSTRUCTION PERM
❑ ADDITION /REMODEL
❑ OTHER
NEW CONSTRUCTION
❑ DECK
SITE ADDRESS:
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
APR s 2
IT Ai kj i6 TER
LEGAL DESCRIPTION:
NAME:
ADDRESS:
PHONE:(:)-44\ -1 2-4 - /413-4
CONTACT NAME: �(
Li!
PHONE:.'- -
CONTRACTOR NAME:
MAILING ADDRESS: (36
CITY:
37
L (Alt j2L
FAX: 1-01 - r ( " " 4 " (
STATE:
FAX: `i-(% %
't
CONTRACTOR LICENSE No.: ,"t fk Fj f. N (I � 7 C � EKXPIRES:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
CELL: 577=4 `"
6-61 CELL:
CITY BUSINESS LICENSE NO.: I : ZG) �Y.Gi,G2 / t-
oAlt
Height to Peak: g,
Main Floor SQ FT:
II�(�
Garage SQ FT:
No. of Bedrooms: LI
* ** *YOU MUST COMPLETE THE FOLLOWING * * **
MARK N/A IF NOT APPLICABLE
Dimensions: /_ ,vi x 36`
Uppf r Floor SQ FT:
Detk /Covered Patio SQ
FT: , 0 ci ��'
Const uction•Type: /J(4i✓
No. of Stories:
[1,6)O(
Unfinished Bas meet SQ
FT: i
Impervious Surface
Area: ig010 &2
Heat Source: F ) Sewer or Septic: �t,UPl
Total Habitable
SQ K
Space:
Finished Basement SQ
FT: ?Z - S'Q F
30% Slopes on
Property:
TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted swater. 2) Ownership of this City of Spokane Valley ipermit inure to the property owner. 3) The signatory is the property
be nerved by potable
Spokane Valley permission Developments dent property owner in
codes are this fo review at the City tof Spokane Valley Permit t Center. 5) The City of
Spoka Y l
Spokane Valley permit uiredtto be su'bmittedpand subsequentiy approved before�this laws, codes or
be processed.
6) Plans or additions d
information may q
Date: /f 1
Signatu e
Updated 1 -11 -11
http: / /www. spoka nevalley.org /fi lestorage/ 124/938/210/948 / 1496 /2743 /Res_Permit.doc
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