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2015, 02-20 Permit App: BLD-2015-0302 ResidenceSpore jvaller Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 oermitcenter@spoka nevalley. orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION D� EW CONSTRUCTION ® ADDITION/REMODEL Et DECK El OTHER .3161111 )2 t SITE ADDRESS: /1p 'ltd r s I1 R.0 El ACCESSORY BUILDING ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: Lame "rwan/ NAME: % /yr%C Q ADDRESS: 35Oey L a3 Ate CITY: S PiJ rear C PHONE: l'B 63 CONTACT NAME: vet/47 e STATE: VVA ZIP: 99.2-3S S FAX: — CELL: '/ / — 7/ cs7 1 PHONE: FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: Project #raD-Qolc-craoa. Ian-itut IVtL) vs) CITY: PHONE: CONTRACTOR LICENSE No.: STATE: fan202015 FAX: EXPIRES: CES JV PERMIT CENTER CITY BUSINESSrLICENSE.NO.:P' IS lr I 1 j Rtv. ?r I 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: ,G'DO Main Floor SQ FT: Qoo Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: L%b0 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, 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: .2/'? 0/j.5 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