2015, 03-10 Permit App: BLD-2015-0441 Residencenow Valley®
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- RESIDENTIAL CONSTRUCTION- PERMIT APPL T}CAWN: n
NEW CONSTRUCTION ❑ ADDITION/REMODEL
0 DECK 0 OTHER
SITE ADDRESS: //o3/ rievice
ASSESSORS PARCEL NO.: ESOSZ.1907
BUILDING OWNER NAME:
0 ACCESSORY i/IJ-DING
MAR 1 11 ZUlb
LEGAL DESCRIPTIONP �t 'I l tN 1 EH
SUB # I t_.� PEV. #
NAME: HgLydend NPMts
ADDRESS: 2_46t46�1 S.w. Cokac:lyt L. Su;u. 3 DO
CITY:
PHONE:
A-dmot-ril
g41-qt3- 0607
STATE:
FAX:
OR, Zip: I-7)SL
CELL:
CONTACT NAME:' cOjry4e tea
PHONE:
ao9-404/4-v8�9
FAX:
CELL:
1)
rt
CONTRACTOR NAME: 5 ct me. 015 ot bout
MAILING ADDRESS:
Cny:
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:
1
Height to Peak: /6, Z,
****YOU MUST COMPLETE THE FOLLOWING****
• MARK N/A IF:NOTAP_P_LICABLE'
Dimensions; ✓
_No.of, Stories:
_Main FloorSQ"FT: �2
-Upper Floor SQ FT:
Unfinished Basement SQ
Total Habitable
Space: - \Z'
Finished Basement SQ
Garage SQ FT:
Deck/Covered Patio SQ
Impervious Surface
Area:
30% Slopes on
Property: N/}
No. of Bedrooms: 3
Construction Type: (IFS
Heat Source: Crr45
Sewer or Septic: $Es.aEL
TOTAL COST OF PRO]ECTt $ 0E6
_ -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)-Ownershlp 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-thls transaction -4) -All construction -is -to -be donein-full-compliance-with the-Qty-of---�--
_ Spokane Valley Development code. Referenced codes are available for review at the City of Spokane ValleyPermitCenter. 5) _The City of_. _
Spokane Valley permit is not a pnrmit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
informaoon-may-be required to be submitted -and -subsequently approved before this -application -can -be processed.
Signature
Date:
9 roes—
Updated 1-11-11
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