2012, 10-30 Permit App: BLD-2013-2251 Addition, RemodelSpokane
Valley
•
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterPsookanevaliev oro
' IC
REV. `-
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Et NEW CONSTRUCTION 14, ADDITION/REMODEL
DECK El OTHER
SITE ADDRESS: Vi p 9j • f/7610 0
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
ACCESSORY BUILDING
BUILDING OWNER NAME: D.V (; 'Son 1LY k7Cr
NAME:
ADDRESS:
CITY:
o 5 Go()kfir) . 23
V4uirv, you
STATE: ZIP:
PHONE:
FAX: CELL:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME:
MAILING ADDRESS: Q f
CITY:
STATE:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
D S RIBE THE SCOPE OF WORK IN PETAIL AND INDICATE USE & PROPOSED USE:
�� rf7o r- GG� , a.6r e-roo / i 1 ( Y (edletDda7 (?rnovaif
r,Q(�' �` Cff-161/- FW ->t--11-1 o S
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICAB
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construct.rion Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ 0/ ()��
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) If this permit fs for construction or on a dwelling, the dwelling Is/will
be served by potable water. 2) Ownership of this Clty of Spokane Valley permit Inure to the property owner. 3) The signatory is the property
owner or has perrn:sslon to rep: esent the property owner In this transaction. 4) All construction Is to be done In full compliance with the City of
Spokane Valley Development code, Refarneed codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley perr.lt is not a permit ot/z ,proval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be required to b� sub tteq and subsequently approved before this application can be processed.
Signature 1_,14\1,1
A A AA A 4A/
Date: 106 0113
Updated 1-11-11 Page 1 of 1
http://www.spokanevaliey.org/fllestorage/124/938/210/948/1496/BulldIng_Permlt-_Residentiai_11-11-11.doc