2012, 08-27 Permit App: BLD-12-1434 Residence•
Spokane e t
FValleyr
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 13 -
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@ spokanevallev.orq
•
Proje
(Staff Use Only)
PERMIT NUMBER:
PERMrr FEE:y
tt
RECEIVED
RESIDENTIAL CONSTRUCTION PEMITAPP)LtIEA1tN
❑ NEW CONSTRUCTION
9 DECK
SITE ADDRESS: . I . , QA
ADDITION/REMOD L ❑SACC€SSOFtYGBLI'vIfD7.iNG
❑ OTHER
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SUB#
_ I _� � iii_ -� � � a: • i
F
ASSESSORS PARCEL NO.:
LEGAL
DESCRIPTION:
BUILDING OWNER NAME:
Lq as
NAME: M tck aea MarsI')rt ,l l
ADDRESS: 9a C3 A . R
PHONE: 5oq_gaa-8.1 Lig JFAX: Kip, -
CONTACT NAME: M t K.e tar- Vn&rd.G_ 11/4 -kw -shalt
CELL: Ni A -
PHONE: .-q PaOI4 FAX: MA
CELL: Nj,A
CONTRACTOR NAME: lthme, 0w(e,('
MAILING ADDRESS: Saint, Ab O�-bOVt
CITY:
STATE: ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
N,A
EXPIRES:
NA -
CITY BUSINESS LICENSE NO.:
nJ4
,RESCRJBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: �� Wal I�
tour -too -1/4n qtoat),siC-lour' Frame /� �F�(esm- WaUs axis a4" on (en4er. M
1 Lod on Cenkr'r'�hF�! 1I is os(3 40 yr YCfto?tr5 RIcbevfni- a P1e4roorn 1 Gamc Qct
****YOU MUST COMPLETE THEJFOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:I
�LLL�yyy Dr
Dimensions:
$ $ 3
No. of Stories:
Total Habitable
Space: x tild
roe
1/
Main Floor SQ FT 1_
-4329A-%.}
Upper Floor SQ,FT:
Unfinished Basement SQ
FT: MA
Finished Bi ement SQ
FT: Nj rT
Garage SQ FT:.i
Deck/Covered Patio SQ
FT: N/1_
�Type:
ImperviousSurface
Area: aa55
30% Slopes on
Property:
[VoSIOf(}�e 5'
No. of Bedrooms: a
Construction n 3Tid
t�-
Heat Source: et? C r t(',
Sewer or Septic: Set Leer
TOTAL COST OF PROJECT: $ I% 000
pISCLAIMER
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 to be submitted and subsequently approved before this application can be processed.
87a-7IIz
Affective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
SOUTH BLAKE RD.
178
324
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EIISTING CArvFxni
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EAST 6TH AVE.
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REVISIONS
DESCRIPTION
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