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2013, 09-27 Permit App: BLD-2013-1981 RemodelCITY kalle Valley -ommunity Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 720-2540 Fax: (509) 688-0037 permitcenter©spokanevalley.org (Staff Use Only) PERMIT NUMBER: PERMIT FEE: C EL! E RESIDENTIAL CONSTRUCTION PERMIT APPIZCATM1 NEW CONSTRUCTION 0 DECK 0 ADDITION/REMODEL i itcicsi:wcilLF!.piritiiq OTHER SITE ADDRESSOW=.5iXe aa416.91/ /--iv• ,54x4Aere;„ 694947 737 ASSESSORS PARCEL NO.: 454"(.;577 LEGAL DESCRIVITONE-7777- - BUILDING OWNER NAME: 4/ fodw AAA° /1/ /,l4 NAME: -6/Y /47449 /-2, /4- /-44146- ADDRESS: //7 OM) k"(---7/1/ .2-04) crry9Aie'--- (In STATE: 99 PHONE: q23— 9737 FAx: cm: 7)- ,„?/—e7-1,/e2E3 CONTACT NAME: a72.. /7/Azir- PHONE: g63 9737 FAX: CONTRACTOR NAME: /107h E-OL0/1/&c— cELL:62,9 MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: 67?77A/6- 0,4 -a --s • x4/67/9-/ .R6weo7)2 Ce-ECT2/C/9C ,(760/70'11.5"4.- Lgref/3: MW ****YOU MUST COMPLETE THE FOLLOWING**** M Height to to Peak: 41/;.9.. Dimensions: No. of Stories: ..,Q Total Habitable Space: Main Floor SQ FT: Upperpor S2_,FT: i 7 Unfinishltd Base9Ant SQ Finished Blsat SQ FT: Garage SQ FT:Ail4_ Deck/ oered Patio SQ FT: AArea: Impervious Surface 30% Slopes on Property: No. of Bedrooms: 3 Construction Type:606v—) L., . Heat Source:ebit Sewer or Septic: 367 -e -C- k TOTAL COST OF PROJECT: 75-oo 1PPRtsi,k piscuuMER 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) 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) The 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 Date: Updated 1-11-11 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Res_permit.doc Page 1 of 1 SCOUT - Spokane County Printed from mal?5!'spokanecounty.org on 09/27/2013 at 01:biJPM •