2008, 09-11 Permit App: 08003581 Remodel*Wane
Commimity 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
www.spokanevalley.org
SITE ADDRESS: / 3o8 N. Ell
P 1 1 2008
SE
PERMIT NUMBER:
PERMIT FEE:
c,
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
Name: F-YYlerc4a (AsOck-A•i 4
Address: Alt) ....:
Name:
r‘
,
i Ye)
City Business ic. No: 46 75 0,7
IMPERVIOUS SURFACE
AREA:
Address:
GARAGE SQ. FTG:
, E) /
1-..d.
# OF BEDROOMS:
City:
HEAT SOURCE:
State:
Zip: 9/>-,
tf Li 2.
Phone:
—•
Fax:
?-7 q-113.9
Contact Person
Name:
Phone: 92,e 3 2.
Describe the scope of work in detail:
Contractor:
Name: F-YYlerc4a (AsOck-A•i 4
Address: Alt) ....:
City:
e State: zip: ,,1,7.2(7.4
Phone: 26-353 z-- Fax: go? -`7(e
Contractor Lic No: Exp Date: y-- a q
AA FQ 4 el+ 6146(101‹
City Business ic. No: 46 75 0,7
Cost of Project: $ sec)
0 0 0
eI/i/j er4a4.7
Proposed Use:
-6e444431-60.... _211 CJUIGL,re
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**************The following MUST be complete: (write N/A if not a licable **********************
HEIGHT TO PEAK:
DIMENSIONS:
,
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2Nu 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 be processed.
SIGNATURE:
Method of Payment:
Cash
Bankcard #:
Authorized Signature:
REVISED 2115/07
0 Check
DATE:
0 Mastercard 0 VISA
Expires: VIN#:
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