2015, 04-03 Permit App: BLD-2015-0731 RemodelSpokane
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Project #
Community Development Department F1 E C E(ha%rEtra Only)
Permit Center
11703 East Sprague Avenue, Suite 5-3 �.�t�7 ly uft�@fit
Spokane Valley, WA 99206 XPK U 3 LU IJ
Tel: (509) 688-0036
Fax: (509) 688-0037
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RESIDENTIAL CONSTRUCTION PERMITAPPCICATI-ON
PERMIT FEE:
NEW CONSTRUCTION
0 DECK
ADDITION/REMODEL 0 ACCESSORY BUILDING
0 OTHER
SITE ADDRESS: 12107 E. GRACE AVE. SPOKANE VALLEY, WA 99206
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: TED & LOU NICK
ADDRESS: 12107 E. Grace Ave.
CITY: SPOKANE VALLEY
STATE:
WA
PHONE:
CONTACT NAME: S-,-pve-f-`-ket\--
PHONE: 5041-9 coo O
FAX:
cSte.)
FAX:
ZIP: 99206
CELL: 509-251-0168
CELL: a06-319_igql
CONTRACTOR NAME: CAMDEN HOMES, INC.
MAILING ADDRESS: 15413 E. VALLEYWAY, C-300
Cm: SPOKANE VALLEY
STATE: WA ZIP: 99037
PHONE: 509-252-9600
CONTRACTOR LICENSE NO.: CAMDEHI927JP
FAX: 509-252-9601
EXPIRES: 4/17/201,6
CELL:
CITY BUSINESS LICENSE NO.:602 818 471
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
MAIN FLOOR REMODEL
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
N/A
Dimensions: NIA
No. ofStories: N/A
Total Habitable N/A
Space:
Main Floor SQ FT:
395
Upper Floor SQ FT:
N/A
Unfinished Basement SQ
FT: N/A
Finished Basement SQ
FT: N/A
Garage SQ FT:
N/A
Deck/Covered Patio SQ
FT: N/A
Impervious Surface
Area: N/A
300/0 Slopes onN/A
Property:
No. of Bedrooms: N/A
Construction Type: NEW
Heat Source: GAS
Sewer or Septic: SEWER
TOTAL COST OF PROJECT: $ 25,000
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 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.
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