HomeMy WebLinkAbout2014, 11-25 Permit App: BLD-2014-2847 ResidenceSpokane
jValley.
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter(alsookanevallev.orq
Project a gtp-20(ti- 2$Y
Staff e r y)
- PERMfi f11t 1.
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION
El DECK Cz OTHER
ADDITION/REMODEL El ACCESSORY BUILDING
SITE ADDRESS:
ASSESSORS PARCEL NO.: 15C2Y2 a Y021
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: ileir en' Dan/ n! V' AA fa c i7
ADDRESS: 3 ,20 S Jolter4 II//
CITY: Mi'Izr' Ian STATE: STATE: /.//9
PHONE:
CONTACT NAME:
a
FAX:
same
ZIP: 99979
PHONE:
Fax:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCORE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Al uv (tSi'c cry;a hoccS-e
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak:
Dimensions:
No. of Stories: /
Total Habitable
Space:
Main Floor S4
/27,2 8$-1f
Upper Floor SQ FT: _
—Q
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
WO
Deck/Covered Patio SQ
FT:
01 if
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: 3
Construction Type: Qrx y, t
pleat Source:
O
Sewer or Septic: Seede
TOTAL COST OF PROJECT: $ 60 00a co
DISCLAIMER
The permitted verities, 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 Spo e Valley permit Inure to the property owner. 3) The signatory Is the property
owner or has permission to represent the property owner 1 ��yy�transaction. 4) All construction Is to be done In full compliance with the City of
Spokane Valley Development code. Referenced codes 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 violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be require to submitted and s - equentiy approved before this application can be processed.
Signature C.
Date: //'c25'/y
Updated 1-11-11
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