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2006, 02-14 Permit App: 06000455 Safety InspectSpokane V coisoasValley ' Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-420 FAX: (509)688-0037 www.sookanevalley.org.com Residential Construction Permit Application SITE ADDRESS o New Construction o Addition/Remodel WOther:, I,,lo l D, f I- eFQ l e/ e f ,4/M - ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building owner Name: �A2L d lDoN1171- TV)ASo4% Address: iDoi e, Freg/w4Pie/r 4 -6't -- City: *crr,my ✓ Aaiq Zip: @z6:20, Phone: 9cY-7Cjcif/ Fax: Contact Person_. Name: Phone: o Accessory Bldg o Deck .(A44./,(A444.1, .Contractor DIMENSIONS: Name. TOTAL HABITABLE SPACE: Address: 2"" FLOOR SQ. FTG: City: Zip: Phone: Fax: Lic No Exp. Date: / pity Business Lic No: CONSTRUCTION TYPE: Describe thescope of work in detail: U L ,z, C s4,2f Project: ti4Akt ` S 4, ttei 1 ,(di)LBiod frnizr. l4ted &IWOailanava ni **************The following MUST be complete: (write N/A if not applicable)************** ******* HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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 c be processed. Signature Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 0 Cash 0 Check 0 Mastercard 0 VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8252005 ❑ Other