2008, 10-06 Permit App: 08003965 ResidingCITVOF
Spokane
Valley.
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
1,vww.spokanevalley.org
PERMIT NUMBER'2 - 3C/47
PERMIT FEE:
/
New Construction
[-.14dditionfRemodel
ther: TZ.,0 ae_
Accessory Bldg
Deck
SITE ADDRESS:
ad
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner: Z./ szz
Al 0 feli
-. .
# OF STORIES:
Name:
p xi ip j_e__
e. FLOOR SQ, FTG:
Address: triR g tc-
Address: 51 w
City: 5'peve,
State: /A/A_
0132:2
City5p6 to,,,, e
r
t •
ell:2.6 6
Phone:
City Business Lic. No:
Fax:
Contact Person
Name:
Phone:
Contractor:
—
£?
-. .
# OF STORIES:
Name:
p xi ip j_e__
e. FLOOR SQ, FTG:
Address: triR g tc-
6, 65666,/i.c.e A
City: 5'peve,
State: /A/A_
0132:2
Phone.
,c6i lifeie— SC27 Fa9
# OF BEDROOMS:
CLNo :
0 Aci)Date:
SEWER OR SEPTIC?
City Business Lic. No:
Describe the scope of,work in detail: Cost of Project: $ 72_0
/
Proposed Use:
**************The following MUST be complete: (write N/A if not a licable **********************
HEIGHT TO EA:1) :
DIMENSIONS:
-. .
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR ro SQ.
FTG:
e. FLOOR SQ, FTG:
UNFIN BASEMENT SQ. FTG:
-
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV, PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can b- .... ocessed.
SIGNATU
Method of Pay ent
0 Cash 0 Check El Mastercard
Bankcard #: Expires:
Authorized Signature:
REVISED 2/15/07
DATE:
0 VISA
VIN#: