2015, 06-01 Permit App: BLD-2015-1244 Residence1
Spokane
coopsValley
Community Development
Permit Center
�I
11707 E Sprague Ave, SuitrI06—a/B
Spokane Valley, WA 992062ropprt #_-----
(509)688-0036 FAX: (509)688-0037
RECEIVED
www. spokanevallev.ore. cOm
Residential Construction
Permit Application
JUN 0 1 2015
gir New Constructio
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LITE ADDRESS 7_0 Z G /((. Ay -ties Lon
LSSESSORS PARCEL NO: 55074'. Y 3o 5 LEGAL DESCRIPTION: L0 -f 5 SHHP -qv —07
fame: ptews4t t() got ,G S f.
ddress:
ity:
Zip:
hone:
Fax:
arne: PG r..1
lone: Zit- 4'1251
lescribe the scope of work in detail:
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IMBIMMEffinimil
Lie No:
.E is. Date:
Ci Business Lic No:
Cost of Project:
1 $ k)r OOd
************The following MUST be complete: (write NIA if not applicable **************
EIGHT TO PEAK:lo
DIMENSION$:yyx�-
PI
# OF STORIES:
TOTAL HABITABLE SPACE:
/liZ5
\IN FLOOR TO SCI.
G. y ZS
2"" FLOOR SQ. FTG:
l�
UNFIN BASEMENT SQ. FTG:
0
IMPERVIOUS SURFACE
AREA:
'JISHED BASEMENT
1. FTG: 0
GARAGE SQ. FTG:
930
DECK/COV. PATIO SQ. FTG:
- 0
30% SLOPES ON
PROPERTY: AIWA
)F BEDROOMS: .,
CONSTRUCTION TYPE:
woad F,
HEAT SOURCE:
AIa-fi.lxL 645 OurnKLc
SEWER OR SEPTIC?
Sitr-
;CLAIMER
pemiitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
ailing 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
akane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
al laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
application ca rybe ryrocessed.
nature
Date
hod of Payment: (Faxed permit applications will only be accepted with major bankcard)
Cash ❑ Check nMastercard 0 VISA
rkcard #: Expires: VIN#:
horized Signature:
3ED 8/252005
D. Other