2014, 12-11 Permit App: BLD-2014-2930 Residence�1ine
�j�alley�
P roje
RECEIVED
Commun y Development Department
Permit enter i}Lf• f a
11703 Est Sprague Ave , u to B O
Spokane i /alley, WA 99206
Tel: (509,) 688 -00 V PERMIT CENT
Fax: (509) 688-0��
k Ii
ermitce ter • s.o an v. e .o
REV,
RESIDENTIAL CONSTRUCTIO PERMIT APPLICATION
NEW CONSTRUCTION $ ADDITION/REMODEL ACCESSORY BUILDING
• DECK,'11 IN OTHER l pp /
SITE ADDRESS: 3 l O IV . 21A2-4--.2—
a L oS e D kAA) •e, OA - 1! e y , (.l )A ' (� c f t'P
ASSESSORS PARCEL NO.• L./ (a U : f.EGAL DESCRIPTION: Lc t S L / R01-4 ACIA 43
BUILDING OWNER NAME: LJ) L (4o Meg hA s e, 3 PE(' PIA*3'. do
NAME:
Lk1L t 111 Er LIP.
F
ADDRESS: LI 0 Yui 1\1j VETE S 11 t' Sn ck'_)
CITY: ,,``
r
��L1A..! lT'�1.., ' /// ��•�4� STATE: Y4
3,2 - or/
PHONE: , _563 Cr 2� - / 2.1 /
CONTACT NAME: . ICt -)
PHONE:
FAX:
ZIP: f
CELL:
yl .r - t L g- )2_4/
Ali L. )411;1/1L- LL (.-
CONTRACTOR NAME:
7 -- / O.. »--
MAILING ADDRESS:
CITY:
STATE: f i/ 4-
ZIp: q4' 21/Z;
PHONE: SlJ//" - (f 2t/ --
FAX: 6927 1 C.) / 9_J CELL: _cei -7:! 71,2
CONTRACTOR LICENSE NO.: /./V'L- Hj (fir Iti3EXPIRES: 7 1914/ CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimension
Upper Flood gQ Fr'Unfinished
No. of Stories:
FT: .^ �- - 1
Total Habitabl
Space:
Finished Basement SQ
FT:
Main F�ggr„SQ(U� '
1.� �ryy
Garage SQ FT:
��
Deck/Covered Min SQ
FT:
—�L'Heat
Impervious S,..1.0",
Area:
Source: J /'S
30% Slopes on
Property:
Sewer qr Septic:
No. of Bedrooms:
Construction Type
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 nota, permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information - ' rPaulred ti be submitted and subsequently approved before this application can be processed.
.9
Effective October Go, <. Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10,28.07.doc
15L1
PLANNING DEPT. APPROVED-
BYC\\ (:;h,1 (b\NI(-1,11:\
DATE: I /
157fIcoo-
aw.i47
162.
-‘1
72
b6.b.t/
P61•1111-
F;)don--itt (0t•1i.rf -----
111v- 1r
w_
.111111. 11.10110.