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2013, 08-07 Permit App: BLD-2013-1567 Tear Off, Reroof_r Spokane .,#Valley. Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter©spokanevalley org 6te'-W/3-/5�7 (Staff Use Only) PERMIT NUMBER: PERMIT FEE: $ /0/. 7/ 5 RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION ❑ DECK SITE ADDRESS: 301/ O ADDITION/REMODEL OTHER .s x ❑ ACCESSORY BUILDING ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: /'(,L/ x/ �Z'/'C `k �I�CCcIc ADDRESS: J J/ 5, 7 j )C. .. CITY: ...Creme\\/ - 4A/ STATE: C)r ZIP: n„?O� PHONE: zaq/ 9&v-na / .FAX: CELL: &7,) Vs,'-.3?o 3 CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: �jl�fJ MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: THE OPE 1.0,F AND INDICATE USE 4 ED DESCRIBE BC C/taJirp ojf *te IL 1JJ �Cb O PR S/'Oo tfrty ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: i •-.�3 Dimensions: No. of Storli�s: S Total Habitable Jv �(j Space: 7� 'I r Main Floor SQ FT: r// , " J /7! Upper Floor SQ FT: �' Unfinished Basem9at A.Q. FT: St GCJ 6( Finished Ba��nt $ FT: /f Garage SQ FT. s3 3 Deck/Covered SQ ..-�-L FT: y3.5�7 Impervious Surface Area: a�/c2 s ft 7T 303/4 Slopes on Property: A/" No. of Bedrooms: 5 Construction Type Heat Source: �%. ewe) or Sway TOTAL COST OF PROJECT: $ eleffig,1 pZ2F4 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 aperoval 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. Effective October 28, 2007 _ Page 1 of 2 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc