2014, 10-10 Permit App: BLD-2014-2470 ResidenceSfilikane
,Valley
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
perm itce nterCalsooka neva 1ley. o rq
PERMIT NUMBER:
RESIDENTIAL CONSTRUCTION PERMIT
7;
NEW CONSTRUCTION ❑ ADDITION/REMODEL
❑ DECK ❑ OTHER
SITE ADDRESS: /9619 E.. Gr4Ct f1UQ.
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME: Nr7ytjPlnl
C
Project # LD W jN:2-y/0
APPL--I ftTn
ACCESSOtx.rlti,RINw
LEGAL DESCRIPTION: Ri5yr_PCrosym-L
Qn,Qi SUB #1 1 R�
LTEftgll5.2
r
NAME: fHcuj4'e.r NorMQ.5 .
ADDRESS: t46 -I 5.w. Cokc:g- PL. Su 1C ¢ 110
Cm: rid
PHONE:
°HI-c1t3- C6O7
FAX:
STATE:
ole.
CELL:
ZIP:
CONTACT NAME:- 11))4n t ` Obre.-
PHONE:
Soq- 71y �dy6
FAX:
CELL:
1)
1\
CONTRACTOR NAME: 5 (A EY. e. c1 5
A boV.L
MAILING ADDRESS:
Cm:
STATE:
ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CIT' BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
A Lilt 5S. gin iI/ hortt
****YOU MUST COMPLETE THE FOLLOWING****
MARK NLA- _IF'NOT APPLICABLE
Height to Peak:jgI C ),
J
Dimensions: c-_,,,,
J k 5rJ
No. of Stories: -_ 1
_Total Habitable
space: - 11,/
Main Floor SQ FT:Is^,,/t/l
1vUpper Floor SQ FT: ^ I` I
Unfinished Basement SQ
-AA
Finished Basement S+Q
FT:- - NA
Garage SQ FT:
MS'S
Deck/Covered Patio SQ
FT: lZp -
Impervious Surface
Area:
30% Slopes on
Property: IA
No. of Bedrooms: 3
Construction Type: (onvv.
Heat Source: qqs
(ce:ar or Septic:
TOTAL COST OF PROJECT: $ - 70:00b
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 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 clone 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.
Signature
Date: )6-9—jy
Updated 1-11-11
—C: \Users\m moore\Down loads\Res=Perm it. doc
Page 1 of 1