2014, 09-09 Permit App: BLD-2014-2158 RemodelCommunity Development Department
Permit Center
11703 East Soraoue Avenue. Suite B-3
(Staff Use Only)
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v �� Spokane Valley, WA 99206
ne Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@spokanevalley.orq
valley (
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RESIDENTIAL CONSTRUCTION PE
No. of Stories:WA
PERMIT
FEE:
Upper Floor SQ FT:N/A
Unfinished Basement SQ
FT:N/A
Project
IT
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APSEICFAWEI1I. .
NEW
SITE ADDRESS:13002
30% Slopes on
Property: WA
❑ ACC SOfl mgLDING
CSV PERMIT CENTER
CONSTRUCTION ►/ ADDITION/REMODEL
DECK .` i OTHER
E BLOSSEY AVE '
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
-----I
BUILDING
OWNER NAME:CHRi SPEDICK ''
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NAME:CHRIS SPEDICK - - -
ADDRESS:13002 E BLOSSEY AVE
CM:SPOKANE VALLEY
STATE: WA
ZIp:99216
PHONE:(208) 250-9336
FAX:
CELL
CONTACT NAME:CHRIS SPEDICK
PHONE:(208) 250-9336
Fax:
CELL:
CONTRACTOR NAME:N/A
MAILING ADDRESS:
Cm:
STATE:,
ZIp:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE NO.:
EXPIRES: Cm BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
ADDITION OF TWO NEW BATHROOMS AND DEMOLITION OF EXISING BATHROOM ON MAIN FLOOR.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:N/A
Dimensions:N/A
No. of Stories:WA
Total Habitable Space:WA
Main Floor SQ FT:N/A
Upper Floor SQ FT:N/A
Unfinished Basement SQ
FT:N/A
Finished Basement SQ
FT:N/A
Garage SQ FT:N/A
Deck/Covered Patio SQ
FT:N/A
Impervious Surface
Area: WA
30% Slopes on
Property: WA
No. of Bedrooms:N/A
Construction Type:wooD
Heat Source:WA
Sewer or Septic:sEWER
TOTAL COST OF PROTECT: $4,000
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 aty of Spokane Valley permit inure to the property owner. 3) The signatory Is the property
owner or has permission to re resent the property owner In this transaction. 4) All construction is to be done In full compliance with the City of
Spokane Valley Deveiopmen code. Referenced codes are available for review at the aty of Spokane Valley Permit Center. 5) The City of
Spokane Valley perrnit Is no a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be uire be submitted and subsequently approved before this application can be processed.
Signature
Date:9-7-2014
Updated 1-11-11
Macintosh HD: Users:cspedick:Downloads:Res_Permit.doc
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