2015, 03-10 Permit App: BLD-2015-0444 Residencer Veya
Fax: (509) 688-0037
permitcentera sooka neva Ileo. orq
1
Project 7JD 7:;(45:_y0
RESIDENTIAL CONSTRUCTION PERM T APPIIICATIR$ D
i1- NEW CONSTRUCTION
❑ DECK
SITE ADDRESS: • 9 -coq E G2acE Ms -
El ADDITION/REMODEL 0 ACCESSORY BUILDING
❑ OTHER MAR 10 2015
ASSESSORS PARCEL NO.: 6S08Z . 1'as
BUILDING OWNER NAME:
LEGAL DESC
NAME:
ADDRESS:
Hgt�at� Nome$
t46L1 7.w. Cot4c v PL. Suite- 3r 110
TIO . ' * 9 4LL ENTER
SUB # I RFV
Cm:
PHONE:
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`SLI 1-c\t3- C607
Fax:
STATE:
oR.
CELL:
ZIP:
CONTACT NAME: -
PHONE:
Oe74 £uefo
0929 vy9,-os+co9
Fax: CELL:
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CONTRACTOR NAME: S o me c1 S A tkivt.'
MAILING ADDRESS:
Cm:
STATE:
ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: - CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
9
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE ___ ._ -
Height to Peak:
1E -7
Dimensions:
x'01 -
No. of. Stories:
Main Floor SQ FT:
/YOB
Upper Floor SQ FT:
Unfinished Basement SQ
Garage SQ FT:
- - 983
1 No. of Bedrooms: 5
_Deck/Covered Patio SQ
FT: =jJ4
_Impervious Surface____
N14
Area:
Total -Habitable ,„
Spacer -
Finished Basement SQ
FT--- -a/A
,30,0/0- Slopes on ---
Property.- -- a /04
Construction Type:.
Heat Source: G o
Sewer or Septic: 6F&.6o
TOTALCOST OF PROJECTF$ gO;cto
—=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 1
-—be-served by -potable -water. -2) Ownership of this City of Spokane Valley•permlt Inure to the property owner.-3r-The'signatory Is the property
----owner-or-has permission -to -represent -the -property -owner -in -this transaction -4) -All- construction -is -to -be donein-full-compllance with the Cty 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 addibonal
-----information-may-be required to be submitted and subsequently approvedbefore thls application can be processed.
Updated 1-11-11
- -C:\ Users \mmoore\Downloads \Res_Permit doc
Date:
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