2015, 01-22 Permit App: BLD-2015-0110 Finish Basementkane
Milley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenterCasookanevalley.orq
RESIDENTIAL CONSTRUCTION PER
P
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UB
-D-960-Oii
-
R E(StVIIVECIDIY)
PERMIT NUMBER:
PERt.gRE? 2 2015
CSV PERMIT CENTER
REV. #
O NEW CONSTRUCTION
0 DECK
SITE ADDRESS:
0 ADDITION/REMODEL
0 OTHER
cQ)
0 ACCESSORY BUILDING
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT ID:
NAME:
""I` sa, • •J
ADDRESS: s:s
Cirv:
PHONE:
STATE:
FAX: \\ C.-\
EMAIL:
ZIP:
CONTACT NAME: c\-,, ,
PHONE:
FAX: EMAIL:
CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT
):
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX: EMAIL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCAIBE 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:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT: ....
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
erty:
No. of Bedrooms:
Construction Type:
Heat Source: C., (
Sewe or Septic:
TOTAL COST OF PRO3ECT: $
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 required to be submitted and subsequently approved before thls application can be processed.
Signature
Date: