2014, 06-05 Permit App: BLD-2014-1293 Patio CoverSpokane
Valley -
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
IA NEW CONSTRUCTION)11' ADDITION/REMODEL [ACCESS RY B''UIILLDING `�'
El DECK I OTHER Prcjc ct # 001( — [ �-q?
SITE ADDRESS: 8 8 0 Z. Ei. -v v rJ -if-, I RECEIVED 1
LEGAL DESCRIP1ION:
I EN
0 5 2014
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
oermitcenterOsookanevailev.ora
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
NAME:
ADDRESS: Q L Cr i ) O
CITY: e 1)0 \J A LAA -1 STATE: \ f 5 p
PHONE: (S-04) 7.2.- lc,
CONTACT NAME: 1" -if
PHONE: \c-.6 41) 7 Z �o— 7) l FAX: CELL: (7s 2)�1 J
CONTRACTOR NAME:
FAX:
( Pr
CSV PERMIT CENTER
SUE ; :.... I . RFV. _ �
j I
CELL:(
,t
MAILING ADDRESS: N )
A
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
D,SCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
RAtLr) vo (i rte '%'s 44 iC ,t44t` C)
****YOU MUST COMPLETE THE FOLLOWING****
A IF NOT APPLICABLE
Height to Peak:
NIP
Dimensions:
1 b. Z 2_
No. of Stories:
Total Habitable
Space: Ni ft -
Main Floor SQ FT:
Upper Floor SjQ FT:
•' i f✓
Unfinished Ilasement SQ
A. FT: N
Finished Basement SQ
FT:
Garage SQ FT:
N/ r'''FT:
N V d
{Bedrooms:
Deck/Covered Patio SQ
—•
Impervious Surface
Area:
30% Slopes on
Property:
No. of N f(
Construction Type: .
Heat Source: N ( (.4
Sewer or Septic: 1\) /7)
TOTAL COST OF PROJECT: $ Cf'D c)
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 i of -rmit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be rsubmitted and subsequently approved before this application can be processed.
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_ _Residential_11-11-11.doc
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PLANNING DEPT. APPROVED
DATE:
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