2015, 06-01 Permit App: BLD-2015-1250 ResidenceSpolkankane
galley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106 RECEIVED
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 JUN 0 1 /(}15
www. spokanevall ev. ore. c o m
Project# --(ok6- (96
Residential Construction
Permit Application
CSV PERMIT CENTER
SULsiNlew-Const[uction o Accessory Bldg
L—o Additioemodel--o-Deck
o Other:
SITE ADDRESS 200 3 14. AT fii ei L.
ASSESSORS PARCEL NO: 550%r/. "i3OI LEGAL DESCRIPTION: Lot / a 1 K I
Name: C) A 4.gret leoc K t&wts ¢.
Address:
City:
Zip:
Phone:
Fax: •
Name: jam, I
Phone: Zit -et/Zq/
Describe the scope of work in detail: Cost of Project:
Eu; l d" A ( O 5F 2
$ coo
**************The following MUST be complete: (write N/A if not. plicable)**********************
HEIGHT TO PEAK: ,
DIMENSIONS: yo X y g
# OF STORIES: 1
TOTAL HABITABLE SPACE:
13 y)
MAIN FLOOR TO SQ.
FTG: 1'3 ti I
2ND FLOOR SQ. FTG:
0
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
3Q. FTG: (0
GARAGE SQ. FTG:
3'13
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY: W//4
OF BEDROOMS:3
vcfI ARM?
CONSTRUCTION TYPE:
woo3 Frr"
HEAT SOURCE:/�
Matt ra ( 6a5 4 -enact
SEWER OR SEPTIC?
SA -re r
fhe permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the'
swelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
agnatory Is the property owner or has permission to represent the property owner in this transaction. 4) All construction Is to be done
n full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
ipokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
Dcat laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
his application can be processed.
Iignature
•
4ethod of Payment: (Faxed permit applications will only be accepted with major bankcard)
] Cash 0 Check 0 Mastercard ❑ VISA
lankcard #: Expires: VIN#:
wthorized Signature:
EVISED 8252005
Date
0. Other