2014, 11-20 Permit App: BLD-2014-2813 ResidenceCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@spokanevalley.org
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PERMIpT'QN`U/ Mroi:2014
PERMIT FEEEE:LL uU
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RESIDENTIAL CONSTRUCTION PERMIT -APPLICATION
TEW CONSTRUCTION ❑ ADDITION/REMODEL Q ACCESSORY BUILDING
111 DECK OTHER
SITE ADDRESS: //J7 g
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS: ?//'l0 G 47/'fe�!>e d�Q
CITY:
PHONE:
CONTACT NAME:
toy
FAX:
STATE: (/ Al
L5 ' --r75 a -
ZIP: ��6
CELL:
PHONE:
FAX: CELL:
CONTRACTOR NAME: ...Z4,0.057 ,G,,,,/ C
MAILING ADDRESS:
CITY:
PHONE:
E 71,Pa 1/ -Q2.P
ff9y -s86'/
CONTRACTOR LICENSE No.:
STATE: 6.4-14
FAX: 5-3171-"/ 7 Sl CELL:
ZIP: 9A:a
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
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****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: /
/.,Z
Dimensions:
j��60 '
No. of Stories:,Total
Habitable Q
Space: ///
Main Floor SQ FT:
// -7/
Upper Floor SQ FT:
`-------
Unfinished Basement SQ
FT: '--'�•
Finished Basement SQ
FT:
Garage SQ SQ FT:
�� y-S'G.,"
Deck/Covered Patip SQ
FT: O dncT'Y2
r
Impervious Surface
Area: �_
30% Slopes on
Property:
No. of Bedrooms:
�-/t0
Construction ype:. ,c -
Heat Source:. ,,v Aje0/2
Sewer or Septic: C0f..i'
TOTAL COST OF PROJECT: $ !3,eoeo
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 required to be submitted and subsequently approved before this application can be processed.
Signature
Date: % -
Updated 1-11-11
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