2014, 06-19 Permit App: BLD-2014-1434 ResidenceCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tet: (509) 720-2540
Fax: (509) 688-0037
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(Staff Use Only)
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RECEIVED
RESIDENTIAL CONSTRUCTION PERMIT APPLIC(4TlQfji4 v
0 ADDITION/REMODEL
0 0 OTHER
p NEW CONSTRUCTION
DECK
SITE ADDRESS: \,D\\
ASSESSORS PARCEL NO.:
LEGAL DESCRI
ACC CSV PERMIT CENTER
SUB # 1 REV
BUILDING OWNER NAME: RatStillecei OctvitA �
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Crrr: Sp i4E (i (.J4L-e-),„, ST\ATE: La c zip: X1`1 It ti
PHONE:13-04) 92�' -lY 33U FAx.{'St { G2y- " o Y CELL: 1YOT ` ?/LI - 15-11
CONTACT NAME: �fi.i.;'1 MLwV vInv.
NAME:
ADDRESS:
'PHONE: SO/ itz---1Y3?(
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CONTRACTOR NAME: { w Lk1-164.44.4 (vtc .
Fax: To? - 7 ct _fl�•g CELL: 5 z - -f f.. -(
MAILING ADDRESS: Po. they
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Cnv: SLD/)Lield ('JL
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PHONE: MY.), -'42 T - /Y �'1 'I
STATE: /A
FAX{3' J ll `% - f&64
CELL:
zIP: n12/
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CONTRACTOR LICENSE ND.: /4414(<1414:1-- 9/ lI D K ExPIRES: 3I13PS 3TY BUSINESS LICENSE NO.: 1 i 20.7--&& C, (-(alt.
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
HeighPeak: 1
a p 1 9 i
Dimensions: N. c as.
,
s: No. of Stories,
l
Total Habitable
space: 1a'..e_::•
Main Floor FT:
Upper Floor SQ FT:
Unfinished Basement SQ
Finished , entt SQ
Garage SQ FT:
vat
Deck/Covered Patio SQ
FT: t
a
Impervious Surface
Area:1, �,in n
30% Stripes on
Property: N p
No: of Bedrooms: '
Construction Type: ta)
Heat Source: (1:-,0„..c.,
$,er'jor Septic
TOTAL COST OF PROTECT: $ qS Ot ``t,T)
PISCLAIMER
The permitted verifies, aclmowledges 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 i5 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 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 nota permit or approval for any violation of federal, state or local laws, codes or ordinances: 6) Plans or additional
informationm required to be submitted and subsequently approved before this application can be processed.
Signatuu � � , Date: kQ ,tA4
Updated 1-11-11
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Res_Permitdoc
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