2014, 06-19 Permit App: BLD-2014-1428 Residencec4
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
fax: (509) 688-0037
oermi center(esookanevellev.orc
(Staff Use Only)
PERMIT NUMBER:
PFRMTY FFA.
Project #
RE(
,a.DIL4_\
EIVED
RESIDENTIAL CONSTRUCTION PERMIT APP:.
Q NEW CONSTRUCTION 0 ADDITION/REMODEL
j� DECK l OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESC
r'
mak'
o ACCESSORY BUILDIN
CSV PERMIT CENTER
7-i _ f
BUILDING OWNER NAME: F-kegVic(rc14
NAME:
�E.
ADDRESS: -PO . &S lI L (3 0
Cm: J(JDIca 'ti4.
•PHONE:15-CAi, 92? -/ 4 3-40
STATE: () 21
FAX,4Z`i` '29'- ‘760trel CELL: rYI /tet - 1371
CONTACT NAME: 3riel. iticwV ilvn,vr
'PHONE: 5>:'2. ! z R- 1'())? ? I
CONTRACTOR NAME: M u iakti44.
MAILING ADDRESS: PO /61 t 3 r i
FAx: Tog
rir I
724"-YGO9- ctw 67--a4 - -tr- rr/
Orr S nluvLc �la LIL . / STATE / ttr�t( /�: 7�lZ!'/y
PHONE: /-we- I 11 2-9 - IY �S FAX('i o % J 2 V - 7 &6 % -cat: 4o ) %l r 95-7/. 7
CONTRACTOR LICENSE No.:144 q K N /41 q;i K REs: 3//3//S xrY BUSINESS LICENSE NO.: ( ( 20.770 �G G q �3u.
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Pear ii
Dimensio x
��
No. of Stories:
r
' Total Habilab eye
Space: '"1
Main Floor FT:
I ��
Upper Floor �T
l ti
Unfinished Basement SQ
FT: 95
Finished t SQ
Garage
hit0
Deck/Covered SQ
FT: `�,O
Impervious Surface
Area: i6-2-1
30% Slopes
Property: N I A
No. of Bedrooms:
contra n TypekCcoa
Heat Source: t.,q,S
owe]) or Septic
TOTAL COST OF PROTECT: $ 1 1)0 i -Dr D .
DISC MER
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 fug compliance with the Gty 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 b be submittedand
�subsequentlyeapproved before this application can be processed.
tr.te
Signature
Date:
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Updated 1-11-11
http://wvw.spokanevaliey.org/fiiestorage/124/938/210/948/1496/2743/Res_Pernitdoc
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