2012, 03-28 Permit App: BLD-2014-0244 BasementSbnokane
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
permi tcenteras noka neva Iley. orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RE :::ItvED BY
CITY OF SPOKANE VALLE5
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION MAR 2 8 2012
❑ NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDINQJLRMITC-NTER
0 DECK , / /� I OTHER T BY:/_ Ia% t l
SITE ADDRESS: �?00� ,/17 / // St .S/j MNf.e j/cv'%`Q'�,/ t�T'f
ASSESSDRS:PARCELNO _, ,L'EGALDESCRIPTION: U
BUILDING OWNER NAME:
NAME: r ' acv m• (..)re %Lit _.
ADDRESS: f?O ! )/ /3c// SY-.
CITY:.) ✓ nAtc Ville tf (� STATE: aA Zip/: 91016, /l (y
PHONE: /.IVU- / fl- 7DDk FAX: Ai Fief CELL: s09- 10 0 - �/f/oJ
CONTACT NAME: /79a fry /'m. On:iLZt (�' (y Id
/, /}'
PHONE: Jog-- / C / 'WS FAX: CELL: G O9- 9Q G — /f/vfj
CONTRACTOR NAME:
MAILING ADDRESS:
ou2n&rt7
CITY:
STATE: ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND I DICATE USE & PROPOAED USE:
f rmp/.i' e rml lure - _basti'u -t Lo ' Atm ht 81 e born
1�i io 4 it &'D wee t 77t o -v aazs.,
****YOU MUST COMPLETE THE FOLLOWING****
Height to pAy�ak:
nlri
Dim�j,�si)oa�tst
Yw / %t
No. of SrriF'r
TI /
Unfinished Basement S 1
FT:', M� (Perot siv)
Total Habitable ,1 (' r1
Space: N�A
Flnlshed,Basement SQ
FT: y_/ /
Main7/7 r SQ FT:
/V
Upper FIgyr
/t
Q FT:
GaraB SQ FT:
J I A
Decic/Cov red Patio SQ
FT: ,l , //9
Construction Type: Frznit
Impervious Surface
Area: N/ !]
Heat Source: 6a ( .1aaw J
30^/o Slopes on
Property: A/ f .1.
Sewer or Septic: S4de a—
No. of Bedrooms:
DR (6 est- S^ or
f to
TOTAL COST OF PROJECT: $R /)np bf/dDG z.,zYt
DISCLAIMER lLfCfu
The permitted verifies, acknowledges and agrees by their signature that: 1) If this. pormit 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 Oty of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws,rcodes-or ordinances:-G)-Plans'or'additioiial`
information may be required to be submitted and subsequently approved before this applicatioti can be processed: r". f T""
1 CSV PEI INAFI GE NTH'?
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Signature soF . ati, {
Method of payment: II Cash ❑ Check
❑ Visa
Bankcard #: EXP:
Date: 03
❑ Mastercard
VINP:
Authorized Signature:
Effective October 28,2007 - Page 2 of 2
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