2015, 02-23 Permit App: BLD-2015-0315 Garage Addition*tile
#Valleyfi
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenter@spokanevalley.orq
Proiect #D615-03(
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PERMIT FEE:
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SUB #� _i
RESIDENTIAL CONSTRUCTION PERMIT�►PPLICATION
REV. #
❑ NEW CONSTRUCTION
❑ DECK
eE ADDITION/REMODEL
❑ OTHER
SITE ADDRESS: I t 3/(o Fr ea
❑ ACCESSORY BUILDING
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT ❑):
NAME:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
EMAIL:
CONTACT NAME: S A Ile \ i
PHONE:
FAX:
CONTRACTOR NAME (.HECK BOX, IF MAIN CONTACT eptu� cot [ ��1.• (t/vlj�� lig
MAILING ADDRESS: '33 -1 v. E. c) o44 -. St -
EMAIL:
CITY: ton: 1140 C c^
PHONE: -S-09—j_ Q3 trr��� 1' S , 1C\
STATE:
FAX:
ZIP: °29
EMAILSLLL," /l 1�1 it � Mp
CONTRACTOR LICENSE No.: A kt 1 Pc cry A PIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
c,� tic COO n
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
1415
Dimensions:
c?Art !(n
No. of Stories:
1
Total Habitable
Space:
Main Floor. SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
21D, 1",
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: 1
Construction Type: on)
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: F �, titi,
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 thls 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 Wiley 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 dui,,.,)) Date: