2015, 05-27 Permit App: BLD-2015-1206 RemodelStamm
jValley°
Community Development Department
Permit Center
11707 East Sprague Avenue, Suite 108
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
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PERMIT NUMBER:
PERMYf4 E21 2015
CSV PERMIT CENTER
SUB # REV. #
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION
El DECK
SITE ADDRESS: 2-$07
ASSESSORS PARCEL NO.:
® ADDITION/REMODEL
❑ OTHER
5 t_ \ v PrfZ i2.1D
El ACCESSORY BUILDING
LEGAL DESCRIPTION:
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT ❑):
NAME:
17Qects L6ti>STi2JGTluO 4 Dt-Stcc hJ
ADDRESS: 12.. IJ L Q Prl tet cap
CITY: b -> I l .> CC 4.A_ 1 LC l- qHIS STATE: k7/T
•1'4
PHONE: 5001 220 -Th-01,› FAX:
CONTACT NAME: CbkQ1S r12..Z l
PHONE: 45-0"1 2Zo-14 q `> FAX:'
CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT
ZIP:
oZb
EMAIL: Ci- LL 2t2Z 1e el Ali
•tan
EMAIL:
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:
1L ire- 0.0—) (7 c -t.° O CL_
****YOU MUST COMPLETE THE FOLLOWING****
A IF NOT APPLICABLE
Height to Peak:
N
Dimensions:
1.J A'
No. of Stories:
N
Total Habitable
Space: U R
Main Floor SQ FT:
1—) l/E-
Upper Floor SQ FT:Unfinished
e.) lr
Basement SQ
FT: PJ I�
Finished Basement SQ
FT: 1.)
Garage SQ FT:
A-
Deck/Covered Patio SQ
FT: L 1 k
Impervious Surface
Area: A.)
l"
30% Slopes on
Property: WA
No. of Bedrooms: Lit�-
Construction Type: Or
Heat Source: t,1
Sewer or Septic: 04
TOTAL COST OF PROJECT: $
CT /Y, tip
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) Ownersh p of this City of Spokane Valley permit Inure to the property owner. 3) The signatory Is the
property owner or has permission to represent he property owner In this transaction. 4) All construction is to be done In full compliance
with the City of Spokane Valley evelopment co e. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5)
The City of Spokane Valley pe. It Is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Pians
or additional Information ay required to be sub ubsequently approved before this application can be processed.
Signature
r'u\d
Date:
PRCGISE CONSTUCTION 8. DESIGN INC.
12817NCRAIG FD
NINE MILE FALLS WA 99026
Floor Plan
07 /May i 2015
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Project
RECEIVED
MAY 2 7 2U15
CSV PERMIT CENTER
S U B # I%I REV.
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