2014, 05-23 Permit App: BLD-2014-1162 Insulate Walls, BasementSpokane
#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
permitcenter(EEsookaneva Iley.orq
(Staff Use Only)
PERMIT Nu
o ect #
ERI FFI v r n
MAY 2 3 2014
RESIDENTIAL CONSTRUCTION PER IT /eR8fi.NAT_
8J NEW CONSTRUCTION ID ADDITION/REMODEL
DECK d OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
S(l 1 Y
BUILDING OWNER NAME: V I c\ --or
NAME:
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V,r,y nke
ADDRESS N
CITY: Srir�kr.nnp V CA.\\
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PHONE:
STATE: ZIP:
FAX: CELL:
CONTACT NAME: SIfjv,Q- \T DILA Cl)r0
PHONE: 001 - LI� 03-15 •; FAX: „ .L
CONTRACTOR NAME: nsc• CcwS+U'ur I rtvm
MAILING ADDRESS: 2.2)2_4 N (v' -e V ,
CELL:
Cm:. S v) kruv`a �" • / `
PHONE: Snot 5712: 2 0OSG
STATE: W A ZIP:
FAX: CELL:
CONTRACTOR LICENSE No.: 1 � fVl p Ar, ILtOACEXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF•WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
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rekL loce '�-Q nv' exis}t'v crap • T) tv\rkoe Ip(a fvv•evss'
****YOU MUST COMPLETE THE FOLLOWING**** 1.L/(1AS
MARK N/A IF NOT APPLICABLE
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:
300/0 Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ 3 t () O • c'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 federal, stateorlocal laws, codes or ordinances. 6) Plans or additional
Information may bee[equired to be submitted and subsequently approved before this application can be processed.
Date: S' 23 -
Signature
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_ _Residential_11-11-11.doc