2014, 05-29 Permit App: BLD-2014-1230 ResidenceSc,�'okane
Valley.
Community Development Department
Permit Center
11703 East Sprague 99206e, Suite B-3
Spokane Valley, WA
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenterCalsookanevalley.ora
RESIDENTIAL CONSTRUCTION PER
NEW CONSTRUCTION
❑ DECK
SITE ADDRESS: 1 r to
ASSESSORS PARCEL NO.:
❑ ADDITION/REMODEL
0 OTHER
ei
v(j p q LEGAL DESCRIPTION: L
c► v
CSV PERMIT CENTER
NTS' TIM*
❑ AC ESSORY BUILDING
BUILDING OWNER NAME: R(L(rAetia 14 \-L A
NAME: �,/, �,L t41 4I1t h4(_
ADDRESS: -Pc . 644 i L (3 Cii
CITY: _Sr (JD 14-(444 L f i STATE: .)
4�wt
. G, �/ �/
PHONE: ;Y.4(1 ! 2 - 1413.3u Fax(-) t) l 2 t '`t 6
I �pJ �' JjJ /
CONTACT NAME: 661 e IA itt et,t, moi/{/v1N•`
-PHONE: 5riq - qZ? 71c- 3 7
Zi
CELL: �z%'j)/Ll'15I/
FAX: 112/ t - / 2 c CELL:
CONTRACTOR NAME: ( Lw -..A 1 vt
MAILING ADDRESS: 130 6 /11156
n(z."c.z k
CONTRACTOR LICENSE No.: ]u 4 I i4 Fi F{ -L ei4 i D K EXPIRES: 3//3/A5
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Cm:
PHONE:
STATE:
wy4
FAX(5 -,,) 92 - 0,61.
CELL:
ZIP: eMZl �(
4 ;2(y'. i57( 77
;m BUSINESS LICENSE NO.: I 126 .D.-&& q /� (i•
****YOU MUST COMPLETE THE FOLLOWING****
MARC N/A IF NOT APPLICABLE
Height to Peak: l Lr /, li Dimensions:
. /
Main Floor SQ
Fr:/
T% D k,
Upper Floor SQ FT_
Garage SQ FT:
t{ (-1
No. of Bedrooms: 3
Deck/Covered Patio SQ
FT: c/ t
Construction Type: Wee'
No. of Stories:
Unfinished BasementasSQ
FT:
Impervious Surre
Area: / 7
Heat Source: 60 R,; rtf
Total Habitabig!
Space: / C �1
Finished Basement SQ
FT:
S
30% Slopes on
Property: l(
r Se ic:
TOTAL COST OF PROSECT: $ 9 ce)
DISCLAIMER
The permitted verifies, acknowledges and agrees by their ignature that: 1) if this permit Is for construction or on a dwelling, the dwelling is/will
be served bys potablemiswater. 2)r se Ownership of er this Oty of owner in this transaane cey tion. 4) permit4) All o to
Is to be done n)full compliance with the City of
ownerhe signatory is the property
Vas permission to rent code. the property
Spokane Valley Development code. Referenced cpdes are available for review at the City of Spokane Valley Permit Center. 5) The City of
reform tion Valleypermit
be 'red
is rriot a ed to be sub it or ttedprov or any violation of federal, state or and t bseq ent y approved before this application can be processed.cal laws, codes or ordinances. 6) Plans or additional
�
Signature
Date: __F19._9 I tiN
Updated 1-11-11
http://www.spokanevalley.org/filestorage/124/938/210/948/ 1496/2743/Res_Permit.doc
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