2014, 08-01 Permit App: APR-2014-1846 ResidenceLVIIIIIIVIIIIy vevelupine/is uepartment
- N syl>f Permit Center
11703 East Sprague, Avenue, Suite B-3
-99206
(Staff Use Only)-
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PERMIT NUMBER: . r.4
p�t �-pp Spokane Valley, WA
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tl%'-. BH'ir Tel: (509) 688-0036
PERMIT FEE:al
Fax: (509) 688-0037
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SIDENTIAL CONSTRUCTION PERMIT ALICATION
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4111 NEW CONSTRUCTION Q ADDITION/REMODEL
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ASSESSc ci PARCEL NO.: LEGAL DESCRIRTIoN. ^
BUILDIr'. C1WNER NAME: C\_�Q.‘.n \ac cJ C �i��\<n----_.--_..,_,_.-�_. j
\ \ NAME: —\�\.. �4_,aC} �cJCsh ---_
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ADDRESS: `' . ,\`Th c-4CC �!
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CITY: R.:... �r nc-• STATE: \ tp\ ZIP:' �'\Thj-4 i
PHONE: c q � p, ('�
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CONTACT t:. .:•,=' �c CC
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PHONE:FAX: CELL: •
CONTRAC•3R NAME:
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MAILING AUD.. Ess:
CITY:. STATE: ZIP:•. !=
PHONE: .. FAX: CELL: . 'r:"t :y..
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CONTRACTf it I iCENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.: • 13aI
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DESCRIr3l: 1 HE SCOPE OF WORK IN DETAIL AND INDICATE USE &( PROPOSED USE:
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YOU MUST COMPLETE THE FOLLOWING ****' ,�
MARK N/A IF NOT APPLICABLE •
Height to : :.::
kDX 4
Dimensions: -
N at �i>
les:
No. ofStoTotal
\ N.
Habitable �,.�,
Space: \1;J `. I�
-
Main Floo• Y.
—:\.1.
Upper Floor SQ FT:
Upper
Unfinished Basement SQ
FT: Se)
Finished Basement .. "-'
°x j2 i
Garage Si, . , .
talpt
Deck/Covered Patio SQ
FT: ��
-FT:
Impervious Surface
Area:
-
30% Slopes on
P
Property: \v
.
b -_'
-`i-41QO
No. of Ber. ..,:s: ,
Construction Type:-..,.
Heat Source: �
J ...
t\Seweor Septic
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TOTAL CC. _ .- OF PROJECT: $
DISCLAIM F:'
The permltten .: Lesacknowledges and agrees by their signature that: 1) If this permit Is for construction or on a dwelling, the dwelling Is/Will
be served by I:...,;a water. 2) Ownership of this City of Spokane Valley permit Inure to the property owner. 3) The signatory IS the property., ,1
rty..
owner or has p.. r. sslon to represent the property owner In this transaction. 4) All construction Is to be done In full compliance with the City. of.,::-`- -
Spokane Valle', .::Llopment code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of :"-Y;-
Spokane Valley , :: niic is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or addltlonal's ".:
information ma; _� r_quired to be submitted and subsequently approved before this application can be processed.-r';tv%-?'
Signature C Date: `%- \- \ eC `'r'—•;:::",
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http:/; •'•.'.v.spokanevalley.org/Fllestorage/124/938/210/948/1496/Building_Permit_=Resldentlal_11-11-11.dee