2014, 10-10 Permit App: BLD-2014-2485 ResidenceT SSS®bane
.:alley°
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter(Esookaneva Iley.orq
RESIDENTIAL CONSTRUCTION PERMI
PERMIT NUMBER:
Project P 261'"Z`1gS
TAPP LI 'IDNED
�i, NEW CONSTRUCTION 0 ADDITION/REMODEL
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0 DECK 0 OTHER
SITE ADDRESS: 1g03Z £. Gr4Ce
Pi wit& l4orhe5
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
NAME: HgjCie,r4 N0r.e5
Avg-.
❑ ACCESSC YFBVELT4G p�
cV PEfMrT CENTS
LEGAL DESCRIPTION:Kivu- ct05s;A1 La- ' gill.
REV. #
SUB #
1
ADDRESS: 2.4()LiS.vo. Cviac:r j- PL. Svi1'L �' Flo
Cm: c<tcir^o'r-()'
`SH l -()R3. C6 07
PHONE:
STATE:
Fn:
0R. zip: 9T)510
CELL:
CONTACT NAME: - (1; I j'Vi� " `Ob t
PHONE:
5001- 7jti - y6
Fax:
CELL:
1,
r\
CONTRACTOR NAME: 5 oi M2 c15
abo\/
MAILING ADDRESS:
Crrv:
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:
A tact L. 5t€cFt. RgNCQ.b- -SiN91¢f4mi1/2 hOrn2
****YOU MUST COMPLETE THE FOLLOWING****
-- MARK N/A IF NOT APPLICABLE
Height to Peak: 1 a
19 - 9
Dimensions: .No.
Sok 57,I
Stories:_ _
_Total Habitable
Space: 2046
Main Floor SQ FT:ZD�b
Upper Floor SQ FT:
NA
'Unfinished Basement SQ
FT:.' NA,
Finished Basement SQ
FT:.. -. AS,
Garage SQ FT:
Li SZ
Deck/Covered Patio SQ
FT: Re
Impervious Surface
Area:
30% Slopes on
Property: NA
No. of Bedrooms: 4
Construction Type: CoNV.
Heat Source: qqS
Ca or Septic:
TOTAL -COST OF PROJECT: $ - 70, ora 1
DISCLAIMER i
The permitted venfies, 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 • f
- ---owner-or-has permission -to -represent -the -property -owner in -this transaction-4)--All-constructiomis to -be done -in -full compliance with the City -of--- i—
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
informabon may be required to be submitted and subsequently approved before this application can be processed. -
i
Signature Date: /6-9-/
Updated 1-11-11
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