2015, 06-02 Permit App: BLD-2015-1279 Pole BarnRESI
•
Community Development Depaitriient
Permit Center
11707 East Sprague Avenue, Suite 108
Spokane Valley, WA 99206
Tel: (509)-720-5240 '
Fax: (509) 688-0037
permitcenter@sookanevalley.orq
ENTIAL CONSTRUCTI,OWPER
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PERMIT NUMBER:
PERMIJA:0 2 2015
CSV PERMIT CENTER
SUB # REV. #
IO ,
El NEW CONSTRUCTION QQ ADDITION/REMODEL
DECK OTHER`„
79)=2, 8nDal ula Aje-
SITE ADDRESS:
El ACCESSORY BUILDING
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT ❑):
NAME: ()Cc()( SSG Yt'I RH/t
ADDRESS' WO6 C rcrjtJ✓Otit A
CITY: Sr J. J.(fey STATE: [11 N
PHONE:
FAX:
zIP: 9.9.2/ a—
PHONE: 9a/a--
EMAIL:
CONTACT NAME: wgy f'vt t V Vel (o (
PHONE:,S D7 da. O (Aga_
-
FAX:
CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT Err:
MAIL' ®3 flA-
'to
MAILING ADDRESS: (fes} 9O j' _s-Oa-0rQ50.0
CITY: Co WAqp
PHONE:SO9 alo993-3-- FAX: a?C-X03
CONTRACTOR LICENSE NO.:C(:&JZI£Gt(geirP EXPIRES: 11 fJ O(c.
STATE: W A'
ZIP: 994 i
°S/ 0
EMAIL:Oarfen 62L ivy -4 ma', 99C'`om
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE&F WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Sox3a eoic .w
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height ty peak:
%25
D' ensions: -
�O )C3.
No. of Stories:
/
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
• -
Deck/Covered Patio SQ
FT:
Impervious Surface
Area: u•..
300/0 Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ /a' opo „ 00
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) Ownership of this City of Spokane Valley permit Inure to the property owner. 3) The signatory is the
property owner or has permission to represent the property owner in this transaction. 4) AH construction is to be done in full compliance
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 ordinances. 6) Plans
or additional Informgtiop may be required to be,ubmitted and subsequently approved before this application can be processed.
Signature
Date:6' c- l3