2013, 07-31 Permit App: BLD-13-1507 PoolSpokane
4Valleyr
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenter(8sooka n eva I lev. orq
Project # eAcf 3—IS-07
RECEIVED
(Staff'Use'O ly)
PERMIT NUMBER:
nrcl/ 2FRMIT CENTER
PERMIT FEE:
SUc 'r' ( I f1C V. r I
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION
❑ DECK p
SITE ADDRESS: /as
ASSESSORS PARCEL NO.:
❑ ADDITTT/REMODEL
OTHER
/7. BAST SP0 F kvi4 . enzgfro
❑ ACCESSORY BUILDING
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
-.7-0/54/ 3 Cf477/7 PORTER
ADDRESS:
/05 N. BE-57-
cm:
e r
Cm: •5,0o •esivr
`! 28 '/3 9/
PHONE:
STATE:
ZIP:
FAX: CELL:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME: A-4//4 eon- poet ? Ston
MAILING ADDRESS:
932/ C. SA72IOC
CITv: 5/0,44'/L%e- STATE: :7//7 •
ZIP:
PHONE:
7-722.. FAX:
CELL:
CONTRACTOR LICENSE No.: 49/1/4EE13:/B(XPIRES: an BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
/AT0A0 0A/A c4Ss Poo c,
****YOU MUST COMPLETE THE FOLLOWING****
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:
/
30% Slopes on
Pr erty:
No. of Bedrooms:
Construction Type:
Heat Source: (Sewer
r 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 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, state or local laws, codes or ordinances. 6) Plans or additional
information may be required tote •miffed and subsequently approved before this application can be processes.
Effectiv- October 28, 007 Page 1 of 2
P:\Comm rnity-c - elopment\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
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