2013, 06-24 Permit App: BLD-2013-1221 Footings MH&')4tr4Z1(
Spokane
Valley%
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Pmmunity Development Department
rmit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
oermitcenterOsDoka nevaliey.orq
III°(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
0NEW CONSTRUCTION al ADDITION/REMODEL
DECK Q OTHER //
SITE ADDRESS: 440 ( Al, 7.,,P9& H 1'v w/1 iiqoa,
ASSESSORS PARCEL NO.: 5 ,5 % Q/ -a, `{ LEGAL DESCRIPTION:
BUILDING OWNER NAME:
ACCESSORY BUILDING
NAME: -..111,,,,` KLa
ADDRESS: $05 A• 8610nux.--
PHONE: 50g -q j4-'7' 5
CONTACT NAME: S&, ti KCAL
PHONE:
FAX:
STATE: LA) ZIP: /q/ a.
.6E!{i 509 - '1a-1-Z0(
Fax:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
'5 Ser✓,c
CITY:
STATE: ZIP:
PHONE: 50 q- a a 4- 5 35-6- FAX:
CONTRACTOR LICENSE No.:
CELL:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE
EXA 4TH SCOPEOFWORK IN DFT\A\I,L AND IN�DIC�4T f / e PROPOSEDTE:,
,R",..� `,'9`',, (, J(','„_o_ T- ,�-C ,Ji, .ern
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to eak: n,
/‘/— 8
Dimensions: 11
02(0 $ X �f q i f
No. of Stories:
1
Total Habitable
Space: /3 st\
Main Fl�SQ FT:
/302
Upper FloorSQ FT:
1
Unfinished Basement SQ
FT: Ay/-}'
Finished Basemenf Q
FT: r//,4
Garage SQ FT:
4 /1
Deck/Covered Patio SQ
FT: 41
Impervious Surface
Area:
30% Slopes on
Property:
No. of/ Bedrooms: ,3
Construction Type:
Heat Source: E(eC. y{}-
Sewer or Septic: &Wei
TOTAL COST OF PROJECT: $ x #8,000
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 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) 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 sub ed and subsequently approved before this application can be processed.
Signature
Date:
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
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