2015, 04-21 Permit App: BLD-2015-0869 ResidenceValleAT• eva ey.ore
permet
Fax: i(t5c09n )e6r808s- 0 Ok3a7n
• RESIDENTIAL CONSTRUCTION PERMI
NEW CONSTRUCTION
D DECK
D ADDITION/REMODEL
OTHER
SITE ADDRESS: /6145 .e ete Z ALE
ASSESSORS PARCEL NO.: 55o st . /801
BUILDING OWNER NAME: /4/40., Alb -tea
NAME: tMLyhtu I1OMts
ADDRESS: 7-4 Vi 5.1,0. lact -tf
•Cny:
PHONE:
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SLI I - cit3- C6 07
LEGAL DESCRIP
•
Project # fate I S
RECEIVED
APPLIC I*
ACCESSORY BUILD14
ING
CSV PERMIT CENTER
• Ill
fr
PL. SV;tC 3 No
PRIX:
STATE:
o(C
CELL:
CONTACT NAME: OMAR.- 1? -43211°
PHONE: 57:1?'" 414/9 - CSC, ej •
FAX:
CELL:
CONTRACTOR NAME: Sotrt /15
el bow -
HAILING ADDRESS:
Cry:
STATE:
PHONE:
FAX:
CONTRACTOR LICENSE No.: •
EXPIRES:
CELL:
ZIP:
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 APJ?LICABLE
Height to Peak: J_7fl. Dimensions: Lox /)/7' No. of Stories* Total Habitable ntys
Space:
_Main Floor SQ ET: 17/ — -Upper Floor SQ FT: 4 _--- -untinisne-d Basement SQ - Finished Basement SQ
_Garage SQ ET: Deck/Covered Patio SQ Impervious Surface _30% Slopes on
4/83
No. of Bedrooms' 3 construction Type: ks. Heat Source: 6745 Sewer or Septic Scuar_g_
TOTAL -COST -OF PROJECT:4.- 'c'.:). 00 .
I 4
DISCLAIMER- . . . . .,
/
•
-The permitted verifies, acknowledges and agrees by their signature.that: 1) If thIsaermit is for construction or on a dwelling, the dwelling is/will I
be served by potable water. 2) Ownership of this City of Spokane Valley.perrnItInure.tothe-property•owner. 3) The signatory Is -the property I
•-- — owneror-has-permIssion-torepresent-the-property owner.in-this trassactlam-z4)7Allsortstruction.is•to.be done-iMfull-Eo-mpliinceyeltlitheeity-of —,------t-- -
,
- ---SpokaneNalley•Deyelopmenrcoder-RefeFacTS-c—odes _
are available for review at the City of Spokane Valley Pernik Center. 5) The Oty of
I
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 i
-information-may be required to -be submitted.and.subsequentlyapproved before this application can be processed.
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Si9iiature
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_ Date: YAPS" _ . ,
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i
Updated 1-11-11
C: \ Users \ mmoore \ Downloads \ RPermit.doc -
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