2012, 10-22 Permit App: BLD-2012-1875 RemodelCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevallev.orq
(Staff Use Only)
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK ® OTHER
SITE ADDRESS: /'7 S . t, / Sk /' .ffie_24 t4 U C 11}4 'QZ &
ASSESSORS PARCEL NO.: LEGAL /DESCRIPTION:
BUILDING OWNER NAME: J & 7- / J
' /" iCi %17-tr'r
NAME: Jennifer McKeirnan
ADDRESS: 8825 Interlake Ave. North
cm: S TTLU
PHONE:
STATE:
Zip: 9 /03
Fax:
CELL:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME: L4 / VA= `kiv; r .t M7/2.0vE
MAILING ADDRESS: 1 DX / 2.5-9
CnY: S / `%�.6 r 14(-- STATE: /
PHONE:
CONTRACTOR LICENSE No.: LAKEVHI883DK
Zip�/
FAX: CELL: 7,61<e
s l/v l t7 1 v /n(A
EXPIRES: �'' / 3 CITY BUSINESS LICENSE NO.: LAKEVHI§
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Cut in new 48"x48" egress window into basement wall. Install well grate and ladder. For emergency/safety exit only.
Cut in new 48"x48" egress window into basement wall. Install well grate and ladder. For emergency/safety exit only.
****YOU MUST COMPLETE THE FOLLOWING****
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: FAG
Sewer or Septic: sewer
TOTAL COST OF PROJECT: $ 1800.00
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) AU construction is to be done in full compliance with the City of
Spokane Valley Develo ment code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley perm not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may b e fired to l}e submitted and subsequently approved before this application can be processed.
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Effective
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Effective October 28, 200 Page 1 of 2
P:\Community Devel pment\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc