2014, 10-13 Permit App: BLD-2014-2509 ResidenceCommunity Development Department
Permit Center
1.1703 East Sprague Avenue, Suite 8-3 PERMIT NUNIIeR:
Spokane Valley,WA 99206
Tel: (509) 688-003¢,„,
Fax: (509)688-003
Cif R
(Staff Use Only)
PERMIT FEE:
RESIDENTIAL CONSTFUCTIOPP EkWft APPLI
)(NEW CONSTRUCTION
DECK
SITE ADDRESS: Cyte.,71 4 , d
ASSESSORS PARCEL NO.:.
TION
IN AD Tum IMP#0 4iT CE4AMSSORY BUILDING
OTHER
REV. #
BUILDING OWNER NAME:
LEGAL SCRIPTION:/or% / toaDrid 3 -
NAME:
r, �f/L-GG j T
ADDRESS: 2io , Q it V �p it 900
Cm e hi4 STATE: �.
PHON) !iE • q/ ii — / 21/ Ffff,,, ?) 771--0/95—
CONTACT
1 o/cCONTACT NAME:
Zip: q9
CELL:
PHONE:
FAX:
CONTRACTOR NAME: L A L 4'rn..s tL%
NAIuwc A_DDREsS: Z I(� �, did i�[��+4i 777 4
Cm: s 7g,KA t \/t.& .LCL ! STATE:
PHONE '"''��``
q /�^ A,�, 99zy�
qn. + /'Z f / FAxr c& 4n— o, 'r CELL:
coNTRAcrn, LICENSE No.:4,11, Aid,y3$/jg EaPIREs` CITY RUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: /
�2'%
rialto,/ / //
Ci){ 3/-G�
No. of Stories:
2
Total -Habitable
space: Agfif
Main Floor
Mpg:
oor SQ FT:
---� -
Unfinished Bnstent SOU
FT: �] �i �i 2Y
Finished Basement SQ
FT:
Garage SQ FT: �j .,
,c Cfs:r /J
Dedt/Covered ParSQ
FT. /J
Impervious Surface
Area ._
30% Stipp on
No. of eedrobms:
eenMnadioe TYPe:/. )nllQ
. Heat Sande 44 /e=septic:
TOTAL COST OF PROTECT: $
DIESdAfMB
The permitted vetoes, 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) Owne shki of dos on of Spokane Valley pont Inure to the property owner. 3) The signatory Is the prapeny
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the Cly a/
Spokane Valley Development code. Referenced codes are available for review at the Oty 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 Dol laws, codes or ordklances. 6) Piens or additional
tnfbnnatlnn 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 VerstonsWermit Center\ Residential Construction Permit
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