2007, 03-26 Permit App: 07000939 Fire Damage RemodelSpokane
. Valley
Community 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. spokaneval ley. ori;
PERMIT NUMBER: 61 — 13
PERMIT FEE:
1 1 New Construction Accessory Bldg
,'Addition/Remodel Deck
n Other:
SITE ADDRESS: 96 Ig k b iCk
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building Owner:
Name: t.%e,ik S q cm S *i''c�l (o'Zl 1 ae, .
:
Address1 l l,�¢ („4 s
Name: p_ .- j i sp f et .
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Phone: e_ — t4�a Fax: 'tet' �/0;, _ / EcC%
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Capp acigS iemc, N ci � a Exp Date: rV?/o
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Y
Address: J 1 J y 0,+f , b l cjL
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
City: 5 fyy vaiitiz_State:
JA
Zip:
Phone: Fax:
CONSTRUCTION TYPE:
HEAT SOURCE:
Contact Person
Name: l )ecu iti w ei1
Phone: 42c,1Lr
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, /0.0 37(o-7
Describe the scope of work in detail:
Contractor: tit)e_1 k 0_,01.4,stet) c
Name: t.%e,ik S q cm S *i''c�l (o'Zl 1 ae, .
:
Address1 l l,�¢ („4 s
City: Zip qq0 d i
/Akar! State:
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Phone: e_ — t4�a Fax: 'tet' �/0;, _ / EcC%
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Capp acigS iemc, N ci � a Exp Date: rV?/o
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Business Lic. No:
Cost of Project: $ db--)
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Proposed Use: V'e5 iavvtidc
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2"" 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 er. 5) This�City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or or a9'ces. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application cesse
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
0 Mastercard
Expires:
DATE: ✓ -; —C7
❑ VISA
VIN#: