2014, 05-19 Permit App: BLD-2014-1096 Residence h� al�-1 -t— elf . '
Community Development Department P-oject i$ff use_On D
Permit Center
11703 East Sprague Avenue,Suite B-3 -PE ,_ _
SpOkane Spok99206 PERbiTel:
Valley. Fax: 688-0037 •
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rY ' CSV PERMIT CENTER
RESIDENTIAL CONSTRUCTION PERi�fll1PP1 ►TI I 1
0
ACCESSORY BUILDING
K,NEW0CDOENCSKTRUCTION0OTHER
0 ADDITION/REMODEL j� _ _ SS , ,
SITE ADDRESS: 1 D i C sC-1t v eS .1i
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: :5,`D� 6 I K
BUILDING OWNER NAME: 3-ili,(`\d/iekti'1 lArv1,.:G A .
NAME: U fW fv1 OrAeLti 1146_
ADDRESS: -P(. • 64, 1,4(3 c g
STATE: GOA\ ZIP: ��7 Z�
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CITY: Sik1w ti /J/ t
PHONE:rya! C 2-?- -f 14-3-3 FAX(s. 1 'f 2�I- "'t Lfirlr j CELL: 6,4) W L/ ' �Z`� /l
CONTACT NAME: Clei.1N lAr1GWV 1/1Cv1ti^-
Z-3- ' J`�t
"i q 3 7 FAX: '? _ !2r( — t CELL: 5-77"/ " "'+"'-'rl-7 rc(
PHONE: � �..� } {{ I
CONTRACTOR NAME: tw( -LLtaim. 46 1 vtc. '
MAILING ADDRESS: (31) 1�o I q(5 4
� (( STATE: ZIP: 1'1Z/C(
CITY: \> ft,it. i,11�S.• / ,i'/1��//
C' FAX( y-'i) 4/2 7 -7&'6 1 CELL: (5,0,7} / '- , -f(
PHONE: 'S7>u � %7� - jY� 7 I
CONTRACTOR LICENSE No.:1-{4K1414- el 7/1)K EXPIRES: -5 I(3 i 13 CITY BUSINESS LICENSE NO.: 1 i w 57..67<a q 13L1.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK NJA IF NOT APPLICABLE Total Habi le .
Height to Peak: Di 5 p_si No.of Stories: �e
1���� -7 Space: (C/1� C'Y
Upper Floor Unfinished Basement SQ Finished Basement SQ
Main Floor 16 ).0 FT; FT:
Garage SQ FT:5.-00
.- Deck/Covered Patio SQ Impervious Surface 30%Slopes on
5 0 0 FT: ei 0 Area: //, 6 0Pro rty: 1 L
iIEE
No.of Bedrooms: Construction Type:IA;el C HeatSourc (t c,ae 1- Sewer Septic:yC
TOTAL COST OF PROSECT: $ 0
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 ap roval for any violation of federal, state or local laws,codes or ordinances. 6) Plans or additional
information may be r uired to be submitte an. subsequently approved before this application can be processed.
Signature .._ Lk(..1(__, Date: 6' /
•
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Updated 1-11-11
http://www.s poka n eva l ley.org/fi lesto rage/124/938/2!0/948/1496/2743/Res_Permit.doc