2015, 06-01 Permit App: BLD-2015-1247 ResidenceProject # Y ra7 15
Permit Center
I�p®karie 11707 E Sprague Ave, Suite 106 R E C E I V E D
Valle Spokane Valley, w4. 99206
y (509)688-0036 FAX: (509)688-00371N 0 1 2015
Community Development www.spokanevalJey.org.com
CSV PERMIT CENTER
Residential Construction sus # la -New Construction
I ntv.
Permit Application o Afldition/Remodel
o Other:
o Accessory Bldg
o Deck
IITEADDRESS 2o13 Al, A-rties Lei
£SSESSORS PARCEL NO: 55 Coq. N 3 0 y LEGAL DESCRIPTION: La f q 5 If P bf o- 0 7
lS.
024
fame: Qra,steno got lC &ts f ,
ddress:
ity:
Zip:
hone:
Fax:
474.
ame: 1/2AK
tone:
?At- y1Zt/
'escribe the scope of work in detail:
L3uTId a 0)20 SF
Cost of Project:
'************The following MUST be complete: (write N/A if not applicable)**************
EIGHT TO PEAK' a DIMENSIONS:
yNXsy
# OF STORIES: j
TOTAL HABITABLE SPACE:
l35 7
'SIN FLOOR TO SQ.
G. 1 3 5 7
e° FLOOR SQ. FTG:
0
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
' IS�H_CED BASEMENT
GARAGE SQ. FTG47O
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY: t//4
)F BEDROOMS:
3
;CI_AIMFR
CONSTRUCTION TYPE:
wood Fra re
HEAT SOURCE:
Nai_-t1fa ( daS Fi u na r.0
SEWER OR SEPTIC?
Sevt r-
3 permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the'
alling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
natory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
ull compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
)kane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
31 laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
application can be processed.
nature
Date
hod of Payment (Faxed permit applications will only be accepted with majorbankcard)
Cash ❑ Check • '❑ Mastercard 0 VISA
ikcard #: Expires: VIN#:
horized Signature:
3ED 8252005
0 Other
1,