2015, 06-01 Permit App: BLD-2015-1325 ResidenceCffY OF
Sj 6It m
Walley
11/us Cast Sprague Avenue, suite u -s
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenteresookanevalley.orq
PERMIT NUMBER:
- aPi- .ol. - 3,
RECEIVED
RESIDENTIAL CONSTRUCTION PERMI APPL-IQIAf OPII5
,, NEW CONSTRUCTION 0 ADDITION/REMODEL
0 DECK 0 OTHER
SITE ADDRESS: 7511 N• J (ropy Sr.
ASSESSORS PARCEL NO.: ,YOBZ. Zcc'
■ ACCESSORY BUILDING
CSV PERMIT CENTER
Sus #I I RFV #�
LEGAL DESCRIPiLO�J.
BUILDING OWNER NAME:
NAME:
ADDRESS:
Hgyderl OMt5
Z46L{ S,ti✓, 0lac:14t ?L. Su; 4'L d NO
Cm: 1<drnoT,J
STATE:
OIC
ZIP:
91)51,
PHONE:
%H I - 9t3- 66 07
FAX: CELL:
CONTACT NAME: - ' OMAlt Rvw c
PHONE: "CI"' 0Y.9 - 0S49 Fax:
CELL:
It
CONTRACTOR NAME: S n rhe_ 0i 5 Gt bav,L
MAILING ADDRESS:
Crrr:
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:
****YOU MUST COMPLETE THE FOLLOWING****
-.- MARK _N/A IF NOTAPPLICABLE...... . ........
Height to Peak: I II
/i 5
Dimensions: I ,
Sb x57
No. of Stories:-
1
Total Habitable
Space: /5711
Main Floor SQ FT:115,/11
Upper Floor SQ FT: A49'Unfinished
Basement SQ
FT: ANA
Finished Basement SQ
FT: N/4
Garage SQ FT:
76S
Deck/Covered Patio SQ
FT: - N ,-
Impervious Surface
Area: t4Pr
30% Slopes on
Property: 1,4
No. of Bedrooms: 3
Construction Type: ge..5
Heat Source: C. -AS
Sewer or Septic: : F+rFQ
TOTAL COST OF PROJECT: $ SO, ono
S
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-ownerin-this-transaction.--4)-All-construcuomis-to-be done -In -full -compliance -with the Cty-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 taws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature
Updated 1-11-11
C: \Users\mmoore\Downloads \Res_Permit.doc
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