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2006, 05-19 Permit App: 06001911 SidingSoakane ,SValley Community Development 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokaneval levo re Residential Construction Permit Application SITE ADDRESS 1) ? k--,�1r12Q ASSESSORS PARCEL NO: r LLtLvu 1 1. va.a........—. PERMIT FEE: 3 617.13 t ❑ New Construction Addition/Remodel ther: LEGAL DESCRIPTION: ier Name: i 1-)fiRy MY' IQTi‘ IW 5 Address: I J� q W G„ e IvA c ,v 5 City: s ipp Ks we State: (4),.:) Zip: 9ccG /6 Phone q_ 92.7 ` �4 5- / Fax: o erso Name: Phone: ❑ Accessory Bldg ❑ Deck ontrBc Name:RO,Jexr %4, iii)//a))05 Address: iP 0 gax $ a 5 - State: /,/,1 Fax: City: --7-4.c pr n Phones 3_ 2, % —� cp.-- Contactor pContractor Lic No: i) ai}T/9c 9 `tOk a ate: City Business Lic. No: • Zip: ,f5 y jr /-ofr 2l,odasdo Cost of Project: $`2-) Describe . scope of work in detail: . ********************** 111C IMMO HEIGHT TO PEAK: zzFr TYiug LTJ. LJ J. v.. a.vaaar ay..... DIMENSIONS:: IVX2C k.....•� .....— -- --- --rr # OF STORIES:. i /2 TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. FTG: 2" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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 done 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) This 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 6),..A4,3,5, ' Method of Payment: 0 Cash Ereheck Bankcard #: Authorized Signature: REVISED 8/25/2D05 Date 5-- / % d 6 ❑ Mastercard 0 VISA Expires: VIN#: