2013, 05-02 Permit App: BLD-2013-0788 Pole BldgPermit tier
11707 E Sprague Ave, State I U'6
Spokane Valley, WA 95206
(509)688-0036 FAX: (509)688-0037
www.spokauevailev.arp,'
Community Development
Residential Construction
Permit Application
New C045474
Addition/Remodel .._
Accessory Bldg
Deck
S11h ADOR.E.SS: _
ASSESSORS PARChl- NO: y5. --O l .- 6:05-11 LEGA.- DESCRIPTION:
//&I? -E• Or&e- eg-
Budding Owner.
Name �- j 1
�G,Cd N d- a pie_ L S,2A Do l
Address: // d r l E. G;ra.C,:. ftI! I /t uu/
Phone: fad — —�
`Contractor
Name: 6: atthiE:
Phone: gel 535. 90/6 err Zy
Name; 'loit/,U 4.. Coad.:TR I'.. &UJ L /) R5, .IAIC.
X9/9•eW'
9q Z p: �9=
Pam- c9 S34 2939
. actor ic:No Iz3a Ex : 06,13044
City $usmess Lic. No (g/;:
0:6.7.,4E751.7 :
Contact Person
De cribe.-the-s
o u -detail-'
!y
ast of Project.-;$
Proposed Use: 511,01/4 fov'e.
**************The folio
HEIGHT TO PEAK:
__MAIN FLOOR TO SQ.
FTG: 7 w
i.
MIS-T.be com
Iete:
write NInot a
DIMENSIONS:
/GP x
# OF STORIES:
2 ";FLOOR -SQ. FTG
FINISHED BASEMENT
SQ. FTG:
# OF BE 4OMS:
GARAGES FTG:
CONSTRUCTION TYPE:
Po sT FRi¢A1
DECK/COV. " TIO SQ. FTG:
/V frr-
HEAT SO
TOTAL
ITABLE SPACE
IMnz.. P- :nQUS SURFACE
30% SLOPES ON
l' ••_R " TY:
R SEPTIC?
The petTnitee verifies atithowiedges aTiTagrees by their sigriffifrre fiat 1) ffthis perrn1t is for oTinernidgeirl of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of `.this City of Spokane.b Valley Permit uaure ihe-pmperty owner _-3) The
signatory is the property owner or has permission to represent tie propertyowner in this transaction. 4) All construction is to be done
if ffl fcorimpiiance with the City of Spokane Valley:Development Code. Reierenoed codes are available for. review at the City of
Spokane Valley Permit Center. 5)' This City of Spokane Valley Permit is not a pemiit or approvallotai y vioiat;on dffederal, state or
local laws, codes or ordinan
6) Plans or addition information may berequired to be submitted, and -s ed -before
ihiLappLcatian can be . • • • • _
SIGNATURE: . i r DATE: s-
Method of Payment=
❑ Cash
Bankcard #:
CI Mastercard
Expires:
VISA
Vi14#:
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