2013, 12-18 Permit App: BLD-2013-2615 ResidenceC]TY OF i/
Spokane
Valley
RESIDENTIAL
NEW CONSTRUCTION
Q DECK
SITE ADDRESS:
ASSESSORS PARCEL NO.:
Community Development Departme
Permit Center
11703 East Sprague Avenue, Suit
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509jTS$"D037
JrClsookan vall or
ro ect
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RECEIVED
CONSTRUCTION PERMIT
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[) ADDITION/ Q
.o9TI-Rv1'T CENTER
LICATIO N
RY BUILDING
ILE(aAL1 DESCRIPTION:_ tip\\J� �,�a�,,, tea
BUILDING OWNER NAME:
NAME:
ADDRESS:
CITY:
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STATE: \\A‘...Q,
ZIP:
PHONE:
FAX: `::)\`l_.`��--lCl CELL: �- -
CONTACT NAME:
PHONE:
FAX: ��� -�`�1� 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 DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
N /A IF NOT APPLICABLE
Height to Peak:
�-(IC '
Dimensions:
Icl\ ti�
No. of Stories:
Total Habitable
Space: \11�
Main Floor S FT:
\"i..oc
Upper Floor SQ FT:
Unfinished Basement SQ
FT: 57_-3Z.
Finished Basement SQ
FT: —.
Garage SQ FT:
'.1-Q\
Deck/Covered Patio SQ
FT: --1!=:
Impervious Surface
Area:,1���
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source: (..D
eweor Septic:
TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) If this permit Is for construction or on a dwelling, the dwelling fs/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 avallcbfe for review at the Clty of Spokane Valley Permit Center. 5) The Clty 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 submitted and subsequently approved before this application can be processed.
Signature
Date: -
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
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PLANNING DEPT. APPROVED
BY. 0,A-7,6?-444WL-
DATE: /213 r /z0/3
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RECEIVED
DEC 3 1 2013
CSV PERIVUT CENTER