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2015, 05-28 Permit App: BLD-2015-1226 Residence(Staff Use Only) PERMIT NUMBER: PERMIT FEE: Spokane Valley. Community Development Department Permit Center 11707 East Sprague Avenue, Suite 108 Spokane Valley, WA 99206 Tel: (509) 720-5240 Fax: (509) 688-0037 permitcenter(sookanevalley.orq RESIDENTIAL CONSTRUCTION PERMIT APPLICATION I1 NEW CONSTRUCTION ElADDITION/REMODEL InCCESSORY-BUIL-DI•NG ❑ DECK f Q �y EI -D OTHER Project # e-d0j5"Ia2�o SITE ADDRESS: II o p e' 7'(Yi FT,'"=WMn ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: OWNER/APPLICANT (CHECK Box, IF MAIN CONTACT ❑): I MAY Z 8 2015 NAME:/ I l,/ ,(I /��,, 1 CSV PFPMIT rEnr-rco ADDRESS: {'�j//08 CI E V 7Tr' �WV/{� 1 CI IP (1 --. _ CITY: i/ J JKaj(/)Q VWIl STATE: /gZIP� 9-,ggi PHONE: .50() 0q55 -668 CONTACT NAME: FAX: EMAIL: ciA( 9.610 Zoo PHONE: FAX: EMAIL: CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT ❑): MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: EMAIL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: ****YOU MUST COMPLETE THE FOLLOWING**** N/A IF NOT APPLICABLE Height to Peak: Dimensions: No. of Stories: Total Habitable Space: Main Floor SQ FT: 11 37 / Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: 39Q Deck/Covered Patio SQ FT: Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: ' Construction Type: Heat Source: t7'i-r�> Sewer or Septic: TOTAL COST OF PROJECT: $ 80/ COD , 00 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 V/I�Gt -illy Ae5ocy Date: 05;o78 1-5—