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2014, 09-25 Permit App: BLD-2014-2301 Residence
Spokane ValleyR Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 perm itcenter@ spoka neva l lev. o rq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION 0 DECK SITE ADDRESS: L `06 7 ASSESSORS PARCEL NO.: ❑ ADDITION/REMODEL 0 ACCESSORY BUILDING ❑ OTHER [ LEGAL DESCRIPTI I n C E f `art ED BUILDING OWNER NAME: 3E. NAME: El; l c- M P't,4 -.4 ��r4 ADDRESS: )t 4V,1 1 csv iFr IT C r,i'ER CITY: STATE: PHONE: ;4,7.54:6`' 4L CONTACT NAME: FAX: CELL: PHONE: - (© .400 -- FAX: CELL: 5-19c.- .6 3 v ` y6 CONTRACTOR NAME: -itsc ,f) V Ec MAILING ADDRESS: CITY: STATE: ZIP:, PHONE: FAX: CELL: CONTRACTOR LICENSE No.: E R1Grt4 412. EXPIRES:�7CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETA!L AND INDICATE USE & PROPOSED USE: ****YOU MUST COMPLETE THE FOLLOWING**** RK N/A IF NOT APPLICABLE Hight to Peak: `t2 5 Dimensions: No. of Stories: Total Habitable Space: Main JFlobr SQ FT: Upper Floor SQ FT: Unfinisilied Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: 1 2 ZA-3 Deck/Covered Patio SQ FT: Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: C 9 ewer Septic: TOTAL COST OF PROJECT: $ 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 74 -t -f Date: 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