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2015, 02-02 Permit App: BLD-2015-0181 Foundation
Spokane ,Vai1ey Community Development Department Permit Center 11703 East Sprague Avenue, Suite 8-3 Spokane Valley, WA 99206 Tel: (509) 720-5240 Fax: (509) 688-0037 permitcenterPspoka n eval ley.orq 3 — Bt -t o �$� Projectf(��S4afff/ �tI P 1 .. n PERMIT!RSI RE 1 V E D PERMIT FEpS—n O 22315 CSV PERMIT CENTER RESIDENTIAL CONSTRUCTION PERMITSAPPlinlIOW # 1 NEW CONSTRUCTION n DECK SITE ADDRESS: l y/i' O ADDITION /REMODEL © OTHER I . &to 1;s1, 0 ACCESSORY BUILDING ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: J OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT D: t2E4/✓ S•')Aj c ' .2)S5ly �f�✓ 2 c24//'� '71i-4175 5 L/ /G J ADDRESS:IT//7tti// s/.'U'//l /3j co6/T h / 1 -rte Cry: G,$ / STATE: /4 ZIP: PHONE: FAX: EMAIL: NAME: yS/-t far CONTACT NAME: D/j.•✓ PHONE: FAX: EMAIL: 04A...•13,46.:-/9/-t1/4^/re- 2 _54 %) CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT 0): MAILING ADDRESS: L /70 . R/ / �+"6/s r Circ: PHONE: CONTRACTOR LICENSE NO.: V4/ 4, /rd STATE: G(/,M^, ZIP: _/'o3 6 FAX: EMAIL: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK/IN. DETAIL AND INDICATE USE ,& PROPOSED USE: iv ✓/.� �v/✓P F7 / / Osci ****YOU MUST COMPLETE THE FOLLOWING**** MARK NLA IF NOT APPLICABLE Height to Peak: 7.2 Dimensions: .2.57c 1./ No. of Stories: Total Habitable Space: Q Main Floor S FT: 0 27 Upper Floor SQ FT: O Unfinished Basement SQ FT: 0 Finished Basement SQ FT: 0 Garage SQ FT: 44 8—y1 Deck/Covered Patio SQ FT: o Impervious Surface Area: 300/0 Slopes on Property: a No. of Bedroomsss:: rF Construction Type:,22c9 Heat Source: /2 Sewer or Septic: C 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 avallabl- for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley permit not a permit or approvaLfor ny violatlor of federal, state or local laws, codes or ordinances. 6) Plans or additional Information may be qulred to be submitted a dl equently -.proved before this application can be processed. Signature/j/f v Date: Updated 12-1-14 Page 1 of 1