2013, 07-26 Permit App: BLD-2013-1471 ResidenceProiect- # &(0- 061/- 1ti-7( I
—ommunity Development Department
ermit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
REC
San OF
np
RMIT CENTER"
permitcenter@sookanevallev.orq
Fax: (509) 688-0037
SUB # Litektrtisaaii
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION EE ADDITION/REMODEL
IN DECK ig OTHER
SITE ADDRESS: 14:2 tZ GAP t1/4-
[§1 ACCESSORY BUILDING
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: e IN4N7sg
ADDRESS: .•
CITY:
PHONE4Pn rkkr-/
PHONE: 4-C1 -4,Vb
CONTACT NAME: (2 (C. --
PHONE:
STATE: WA .
FAX: 4-1? UT
CELL:
ZIP: q72,2.0
FAX: CELL:
CONTRACTOR NAME: -,121(.., Mikr7GVH 4-10me
MAILING ADDRESS:
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:
****YO(J MUST COMPLETE THE FOLLOWING****
LE
Height to Peak:
DimensiOns:
No. of Stories:
Total Habitable
Space:
MR
lirr SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
Finished_Basement SQ
Garage Q FT:
.2----
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer 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 this application can be processed.
Signature
Date: 7 z6
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
Projct # ('��W-:
RECENE
JUL 2 6 2013
CSV PERMIT CENTER
SUB #I
REV. #
PLANNING DEPT4PROVED
BY:
DATE: 7/z �Zo��
1 !i
2. 3
12
lzle--'1,/tois>-1 No M�
�T 21— 1016 za . 6,t,i2141 N E
Iq 44 ti 1 -V--4-1 f-
�o tr=3z5 SF
I i-' 1rlPt
Pr 1-. dz—
1D
15. vo
Ceti
7f -
0E2
a3
Zs
IIo
73
63
df
hGPI ]; 111-Zn'_a►1
t2