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2012, 10-25 Permit App: BLD-2012-1933 Residence
CITY OF Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter@spokanevallev.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION tgl NEW CONSTRUCTION 0 ADDITION/REMODEL 0 DECK 0 OTHER SITE ADDRESS: 4"D-4- 3 . CA Lei i ^1. L k_t ASSESSORS PARCEL NO.: L1 c,� 232.1-1-Z l LEGAL DESCRIPTION: l t) --v 1 61-t c Z1 BUILDING OWNER NAME: 0 ACCESSORY BUILDING NAME: Si9„41, 1! 1 �O(1-1-1-0),1 1 MC_ ADDRESS: Flo I } 4 . et-. CITY: E PHONE: (c c cicI-19c3 CONTACT NAME: 3 P,cpi\I Cj A �} (soy) `1S PHONE: CONTRACTOR NAME: STATE: L,'A ZIP: 1 j, FAX: (SDS) 32Y)- -4-9 I ? CELL: (Sis) S! - I c 3 L FAX: CELL: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: N► vJ C-cN1`- t)2utC'nO4 F lL`i NccktE ****YOU MUST COMPLETE THE FOLLOWING**** E Height to Peak: 2..6' Dimensions: F 44 x J� No. of Stories: �— Total Habitable Space: t 0 Main Floor SQ FT: 1 So �. Upper Floor SQ FT: /i IA- Unfinished Basement SQ FT: I o--- Finished Basement SQ FT: Garage SQ FT: 5'79 2c1 ,S Deck/Covered Patio SQ FT: f4 IA Impervious Surface Area: I A 30% Slopes on Property: .nl /A No. of Bedrooms: `3 Construction Type: t Fria -Meat Source: —.9 c r.�, r.4 -s_ Gamier nr ca.P*ie. v. TOTAL COST OF PROJECT: $ 115 Do 0 Project # 61-fi' ZOf7," 1 t33 DISCLAIMER �iLg The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for constructio i g t Iling 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 com liance with the City of Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Val rn : 5erfQ�1 ) The City of Spokane Valley permit is not a permit or approval for any violation of federal, state or l0©1 laws, codes or chh nc . 6) s or additional information may be required to be submitted and subsequently approved before this application can be processed. CSV PERMIT CENTER Effective October 28, 2007 S UB L 1 t R E V.piige 1 of 2 P:\Community Development\02 Administration\03 Forms - Official Versions\P App 10.28.07.doc 5' ' WoitaziN 1J'J E • U C- v2 6,E -Rpt -c_TY Li nlF 4c S CALvkt LJ\ . /C/ a S�/Z �A C .L_ / 1 NI LA �