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2013, 06-26 Permit App: BLD-2013-1224 Carport
s$&� jValley. munity Development Department mit Center '11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter©spokanevallev.orq • (Staff Use Only) PERMIT NUMBER: PERMIT FEE: Craject #iZZ-7 RESIDENTIAL CONSTRUCTION PERMIT APPLICATION [] NEW CONSTRUCTION d ADDITION/REMODEL DECK OTHER SITE SITE ADDRESS: o .�/ / d/�/' Rd ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: Q ACCESSORY BUILDING CSV PERMIT CENTER BUILDING OWNER NAME: NAME: ADDRESS: Aid eR€/)-T- oI roe, , .\) 44/,,%Y f---aRy R a� D V STATE: PHONE: 5C)– FAX: y l CONTACT NAME: 41 )4 ZIP: ?7:724.) Cp v r CELL:g ? 5��7— Oct JJ PHONE: FAX: CELL: CONTRACTOR NAME: e$/ Co35[ J elriL / �l//;/ v5 /7 _ 519,3 �a /ems —. %D //as //��/ /Vet) CITY: J /e �'`1/7 O 77 5 STATE: / D�` a ZIP: /3 PHONE: 503 -5/4 / ��5 � _� FAX: �D rp�0 �fi �cJ CELL: MAILING ADDRESS: CONTRACTOR LICENSE NO.VQJ, (I/eV-6c 01 9Y EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: S775Taa, 7)- X i ` COR,)90 ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: 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: z ' Z Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ caSYa 70 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 regd t be submitted and subsequently approved before this application can be processed. 6.v• /0J-P2s:RSZ-, eL-d Signa!ure Date: �p Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc d `static i,utput from an Int$rn rr Aping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise