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2012, 07-11 Permit App: BLD-2013-1366 Residence
Spokane Valley. mmunity Development Department �rmit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 oermitcenter@sookanevalley. orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: O RESIDENTIAL CONSTRUCTION PERMIT APPLICATION NI NEW CONSTRUCTION DECKffi Ill ADDITION/REMODEL ACCESSORY BUILDING OTHER SITE ADDRESS: IOW s. CAQNMNE: ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: 'F.VZI(� /m7H©r4 -5 ADDRESS:F. • tX.cc72i CITY: iyhfkr'qiXF PHONE: —4, 3� , 1;4c--&, CONTACT NAME: VIZI6, STATE: 141►1/4. FAX: WI- 413 — CELL: ZIP: PHONE: * r,.(!' 1 423S.Abl--qa FAX: cal -4L 11 94:17 CELL: CONTRACTOR NAME: 1,4 ..t 4 1-kAVIE4 MAILING ADDRESS: ?e .y3ax4.1bC137 Zj CITY: qv, P PHONE: -C,3% r t454::, FAX: CONTRACTOR LICENSE NO.: STATE: CELL: ZIP: 111.7 EXPIRES: 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: Dimensions: No. of Stories: Total Habitable Space: Main Floor SQ FT: Upper Floor SQ FT: Unfinl'se asement SQ !� Finished Basement SQ FT: __e9 G rage Q FT: '%/7, Gof Deck/Covered Patio SQ FT: Impervious Imurface Area: 30% Slopes on Property: No. Bedrooms: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ 2G0)CJ.C% 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 this application can be processed. Signature Date:7 A 1/1,' Updated 1-11-11 Page 1 of 1 http://www. spokaneva lley.org/fi lestorage/ 124/938/210/948/ 1496/Building_Permit_-_Residential_11-11-11. doc PriDiect13tOnW -306 I F@ I JUL 1 1 2013 CS PERI' ENT SUB #i 1 ;L ac. 1, PL.ING DEPT. APPROVED BY. /14,71071444,7)-44- DATE: 7h,/2or3 1,15 SIG i�I�PS�� *t•il Io 6, tz-t-1 ► i,I e - I6,61 RA LOT = t.,2.)/ SrE Doo •