2015, 03-25 Permit App: BLD-2015-0631 Residence.(....!,17:: eye'
t: Fax: (509) 688-0037
Permitcenterfasookanevalley.orq 1 - - L—I
Project
RESIDENTIAL -CONSTRUCTION PERMIT- APPLIiief-614 E D szh
NEW CONSTRUCTION D ADDITION/REMODEL D AcCEsSWECtilaft&D
D DECK 0 OTHER
SITE ADDRESS: /1016-: oitafe- 46,- CSV PERMIT CENTER
ASSESSORS PARCEL NO.: .53-0SZ, :..T. • LEGAL DESCRIPTION:
BUILDING OWNER NAME:
1; •
OF
NAME:Fitvick,Ni t5
ADDRESS: -7-14‘ki 7.11°, C'IAC1
IL. si•Alc-t1/2"Iio —
Crry: c<kcirnoei
PHONE: SH I G607
STATE:
og.
ZIP:
CELL:
977%,
CONTACT NAME: - OMAR- 1?..0431C2
PHONE: 57:11'' 0665
Fax:
)
CELL:
CONTRACTOR NAME: 5 ct rne. 015 cboVe_
NAILING ADDRESS:
Cm:
STATE:
ZIP:
PHONE:
FAX: aLL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: i z.:. Dimensions: , jo i x b -Di No. of Stories: Total Habitable
•
1 Space* 12 -36-
-Main -Floor SQ Fr 35-- 1.1per Floor SQ FT: — -,, Unfinished Basement SQ Finished Basement SQ
FT:s:-- - - HA •
Garage SQ FT: Deck/Covered-patio SQ Impervious Surface 30% Slopes on i
yo7 FT:t -Property: I
No. -of Bedrooms: 3 Construction Type: g.r.S Heat Source: 64,5 Sewer or Septic: -r-A-r.e
_
t1
TOTAL COST OF PROJECT: $ .3 0 one:3
The permitted verifles, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling stwill
-hp served_by.potable-water.-2)-OwnershIp-af-thls-CIty-or-Spokene-Valley-perrnIt-inurelo-pieproperty owner. 3) The signatory is the property
owner-or-has permission:to:represent-the-property ownerrin-this tranSactlon;r4)=All-construction-is-t0 be done •irrfull-compilance-wIth-the-CIty-of -
Spokane Valley Development code. .Referenced codes are available for review -at the City. of Spokane Valley .Permit Center. 5) The City of
Spokane Valley permit is not a permit or -approval for -any violation of federal, state or local laws, codes or ordinance& 6) Plans or additional
—information -may -be -required to be submitted -and -subsequently approved befor="e thIsThripllation can be processed.
dr.
_ igna ure
- Date:- - - 3 /411//5-- - - ------1-
Updated 1-11-11
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