2014, 06-11 Permit App: BLD-2014-1344 Residencenn're
.00.1rValley
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter sookanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
1 NEW CONSTRUCTION 0 ADDITION/REMODEL
0 DECK 0 OTHER
SITE ADDRESS: 1018 S CONKLIN LANE
ASSESSORS PARCEL NO.: i1,✓�, L . 3,1 d
LAKE 5TH ADDITION •77JJ,��ii7
0 ACCESSORY BUILDING
LEGAL DESCRIPTION:LOT 10 BLOCK2 SHELLEY
BUILDING OWNER NAME:
NAME:PIETZ, JAKE AND LINDSEY
ADDRESS:PO BOX 30792
Crry:SPOKANE
STATE:W
134
PrniPCt #_
RECEIVED
PHONE:509-534-3199
FAX:
CONTACT NAME:
JUN 1 1 2014
ZIp:99223
CSV PERMIT CENTER
CELL:
SUB#i 1 REV, #I
PHONE:
FAX: CELL:
CONTRACTOR NAME:LINDSEY CONSTRUCTION INC
MAILING ADDRESS:PO BOX 30792
CITY:SPOKANE
STATE:WA ZIP:99223
PHONE:509-568-1013
FAX: CELL:
CONTRACTOR LICENSE No.:LINDSCI066OW
NO.:
EXPIRES:2015 CITY BUSINESS LICENSE
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
WE WILL BUILD A NICE SINGLE FAMILY RESIDENCE WITH AN ATTACHED GARAGE
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak:
Dimensions: S,.-' 1 tq
'-f /
No. of Stories: I ���
Total Habitable ` -
Space:
Main Floor SQ FT:
1911
Upper Floor SQ FT: f, J
�1 U'(2
Unfinished Basement SQ
FT:
Finished Basement SQ
FT: e,
Garage SQ FT:
bq
Deck/Covered Patio SQ
FT: �SO
Impervious Surface
Area:
30% Slopes on
Property: 0
No. of Bedrooms: S
Construction Type:
� �
Heat Source: �(y¢l" ,,�
4 Sewer or Septic: ep
TOTAL COST OF PROJECT: $
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) 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 requyred to bsubmitted and subsequently approved before this application can be processed.
Updated 1-11-1
http:%/www.spokanevalley.org/filestorage/ 124/938/210/948/1496/2743/Res_Permit.doc
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