2013, 06-19 Permit App: BLD-2013-1147 Pole Building&k-ZL-1(
Spoka .
400° MtUc.y
mmunity Development Department
'rrmit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
Dermitcenter@spokanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION
DECK
SITE ADDRESS:
® ADDITION/REMODEL E ACCESSORY BUILDING
OTHER
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
CITY:
PHONE:
V L_ i)t
LL
STATE:
FAX:
'OA
CELL:
ZIP: 9Z( 4
CONTACT NAME:
PHONE: FAX:
CELL:
CONTRACTOR NAME. CipoWies.:.) %L
MAILING ADDRESS:
CITY:
41(1 a 6.510A
STATE:
PHONE:
9;-41
CONTRACTOR LICENSE No.:
FAX: CELL:
ZIP: C
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
T APPLICABLE
Height to Pe
Dimensions: II,'�
f •7ll117
No. of Stories:
Total Habitable
Space:
Main Floor S4 FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
'
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
300/0 Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
.
Sewer or Septic:
TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted verifies, acknowledg
be served by potable water. 2) 0
owner or has permission to rep e
Spokane Valley Devel••men
Spokane Valley permit
information may be Q.
Signature
and ag
nership
nt the pr
. Refer
rmit or a
submitt
ees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will
this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
perty owner in this transaction. 4) All construction is to be done in full compliance with the City of
ced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
proval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
and subsequently approved before this application can be processed.
Date:
Updated 1-11-11 Page 1 of 1
http://www.spoka nevalley.org/filestorage/ 124/938/210/948/ 1496/Building_Permit_-_Residentia l_11-11-11.doc
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PLANNING DEPT. APPROVED
BY el Vuu-hjt
DATE: I lc( I
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roject rt-
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