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2015, 05-26 Permit App: BLD-2015-1196 FoundationCommunity Development Department Permit Center 11707 East Sprague Avenue, Suite 10 Spokane Valley, WA 99206 Tel: (509) 720-5240 Fax: (509) 688-0037 permitcenterCalsookanevallev.orq Pro EWdzir-117 ?Ct #_{Staff Use Only) PrinET QSEV F n ' PERMAI E[•o 201a CSV PERMIT CENTER RESIDENTIAL CONSTRUCTION PERivilT WL CA ION (NEW CONSTRUCTION 0 DECK SITE ADDRESS: / LJ.) 3 E El ADDITION/REMODEL El OTHER 1v]kSoLr El ACCESSORY BUILDING ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: OWNER/APPLICANT (CHECK BOx, IF MAIN CONTACT ❑): NAME: /AKA4AG�/`,'Ve1n/� 6 9q ' S _ ,2joi, ,00 Qi & `.S1'f✓c )'Oi'l /5o9 2/7 as 99U ADDRESS: CITU: PHONE: STATE: FAX: ,U'ZIP: if) o7 ' 1 EMAIL: E4C✓f LA S( 170 Q4/31 CONTACT NAME: PHONE: FAX: EMAIL: CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT ❑): 2T/ft/IA/kap"- ,o _cams MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: EMAIL: CONTRACTOR LICENSE No.: 8/2e11-5 Xj jip(C ZEXPIRES: 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:Dimensior/s: �s cl1- 30 aIJI 33 No. of Stories: / Total Habitable Space: /CUO Main Floor SQF7• PCI17 Upper Floor S T: Unfinished Basement SQ FT: 9DO Finished Basement SQ FT: Garage SQ FT: Deck/Covered Patio SQ goo oo Impervious Surface Area: 30% 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 epresent the property owner In this transaction. 4) All construction Is to be done in full compliance with the City of Spokane Valley De - o ment code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley per is •t a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may :e req ed to b- • a fitted an subsequently approved before this application can be processed. Date: