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2015, 04-14 Permit App: BLD-2015-0818 RoofCommunity Development Department Permit Center 11707 East Sprague Avenue, Suite 108 Spokane Valley, WA 99206 Tel: (509) 720-5240 Fax: (509) 688-0037 per mitcenter@spokaneva l ley.org (Staff Use Only) PERMIT NUMBER' PERMIT FEE' RESIDENTIAL CONSTRUCTION PERMIT APPLICATION NEW CONSTRUCTION ErADDITION /REMODEL E:1 ACCESSORY BUILDING F] DECK p D OTHER SITE ADDRESS: l'ZZ V ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACTED: LLProject ntc #tel NAME: © Co6�J L ^ c ' T ADDRESS' RECEIVED CITY: STATE' ARR 14 2015 PHONE: FAX: EMAIL: CONTACT NAME: I R PHONE: Sp 1 "'[ Z J - j'L �I c✓ GJ FAX: 45049 CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT MAILING ADDRESS: "Z Z.5 U-1� LIws `�ell A-Ve hS W-1 # 'ZIP: l � r- cls -a % CITY: U� �? STATE: `' PHONE: J� / - 'I ' �� �"3, FAX: EMAIL: CONTRACTOR LICENSE NO.:uj f,,4 L &L-!RwNXPIRES: /V tS�?Pt& CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: ****YOU MUST COMPLETE THE FOLLOWING**** MARK N /A TF NnT APPLTCARLF Height to Peak: Dimensions: O No. of Stories: ' Total Habitable Space: ('500 Main Floor SQ FT:I ,,2:�,0 Upper Floor SQ FT:/� Unfinis d Basement SQ FT: Finished asement SQ FT: P1 it Garage SQ FT: G -` d� Deck/Covered Patio SQ FT: N/AL• Impervious Surface Area: 30% Slopes o Property: fj� No. of Bedrooms: Construction Type: Heat Source: I Sewer or(Septi TOTAL COST OF PROJECT: $ 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) All 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 information may be require to be submitted and subsequently approved before this application can be pr cessed. Signature lat..,�', _ Date: 41 b� ( fir^ (/ pc u� U _ Spolan' e� ..wwOValley REVIEWED FO ,C COMPLIANCE SPOKANE VA EY I DING DIVISION S-eCuh� at Project 415—LIQ-4W RECEIVED APR 14 2015 CSV PERMIT CENTER SUB # [�:� REV. # r--