2014, 06-19 Permit App: BLD-2014-1431 ResidenceCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) -720-2540
Fax: (509) 688-0037
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RESIDENTIAL CONSTRUCTION PER
NEW CONSTRUCTION
DECK
SITE ADDRESS: nDijk
ASSESSORS PARCEL NO.
❑ ADDITION/REMODEL
0 OTHER
LEGAL DESC
(Staff Use Only)
PEaMrr Ramses:
Project #
REC
IT APP :
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IVSD
s L.,.< £
V,
0 ACCESSORY BUILDING
CSV PERMIT CENTER
SUE "
( REV.
Garage SQ
ik�i l•
Deck/Covered Patio SQ
Fr
'k 4.'A
[PTION.
111
BUILDING OWNER NAME: ` k&,&ti&.),i +-ttm_k A t
44
NAME: U mt\L41/t,mS
ADDRESS: -PQ . I& Y. it( ( 3 O
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Cnv: Sep Ica. c t/ tte_4
PHONE:92a - i 4330
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STATE: (.zJ)*
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CONTACT NAME -6: MuNV Lnn,
ZIP: `P'7 zit(
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'PHONE: 43V4. —÷ ;/Y3 t
CONTRACTOR NAME: wL�1ciw1/4.
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jFAx: j V'1 - 72 c( —fcy cEuh 5'x'2 $ <`� •)—(7L-Lca L1 .
MAILING ADDRESS: (31 L t3A/ !'i(56
QTY: S n t fiat STATE: /,:f:"��I
�i//tGc ZIP: 712/ e7
PHONE: /Vie I r/ 7 1 DS - /Y 3 Fax{) U, 7 ll y 7 - CELL: 4oi] i - V- t57( '7
CONTRACTOR LICENSE No.: �t4lz K li /{ i- q;l tf IG EXPIRES: 301/45-ZTY aUSmESS LICENSE NO.: 1 r 2G 5 Cc C/ /.1 cc:
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 Peak.
�a' a'I
Dim i ns Y�
4' A y.,
No. of Stories:
Total netnews
Space: a 19
Finished Basement SQ
FT:
Main Floor SQ :
ayl
Upper Fkwt
S O
n' NBasement SQ
t
Garage SQ
ik�i l•
Deck/Covered Patio SQ
Fr
'k 4.'A
Impervious Surface
rf
Area: it.cikk
Heat Source: C s
30% Slopes on
pe n
Property N'
e?)or Septic
No. of Bedrooms: -4
Construction Typel
TOTAL COST OF PROJECT: $ \\ S
DISCLAIMER
the permitted verifies, acknowledges and agrees by their signature that: 1) g this permit Ls 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) Alt 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 ma^be required to be submitted and subsequently approved before this application can be processed.
Signatu
Date:
Updated 1-11-11
http://www.spokanevaltey.ora%filestorage/124/938/210/948/1496/2743/Res Permit.doc
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