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2013, 07-15 Permit App: BLD-2013-1302 Egress Windows
W), 2©(Z. 43OZ CITY Of ley ,.mmunity Development Department (Staff Use Only) Permit Center 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: Spokane Valley, WA 99206 Tel: (509) 688-0036 PERMIT FEE: Fax: (509) 688-0037 DermitcenterOspokanevallev.orq RESIDENTIAL CONSTRUCTION PERMIT APPLICATION 0 NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING 0 DECK Q^ ,�j J ►° OTHER /' / A//� SITE ADDRESS: 111 0 AI, 30(11/14 Ir g i S 4P��1� �C[/l e y 1 l'i I ci721 ASSESSORS PARCEL NO.: LEGAL�DESCRIPTIO N: BUILDING OWNER NAME: Jere/1'114k 7L/a1ek NAME: J e c ii to /161 y` i. J ADDRESS: / y/ V Jfoliva y' Ld CITY: SI)0kahe /ley STATE: 1/1//41/1//4ZIP: f f `^/(.�PHONE: (5o7 faS31-✓?(lV S FAX: CELL: S4wAr CONTACT NAME:/ S4 "'i e - PHONE: FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN RqETAIL AND I DIC � & PROPOSED UUSE Q n� 1/1.5-1-4/11 Z e,IS jp/ 46 itic ; h 1he M7qt e - S tof P 1i^e k,, vtf-e ****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 Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ /)OCO 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 to be submitted and subsequently approved before this application can be processed. Effective 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 Signature "Aakti;A:,' `WE►'ate: y/x3 Method of pent: ❑ Cash 0 Check 0 Visa 0 Mastercard Bankcard #: EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 2 of 2 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App i 0.28.07.doc