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2012, 11-09 Permit App: BLD-2012-2051 Finish Basement•Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Valley Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 perm itcenter(al spoka nevaliev. orq (Staff Use Only) PERMIT NUMBER: -/7 -2 PERMIT FEE: Z S 7r/,, RESIDENTIAL CONSTRUCTION PERMIT APPLICATION 0 NEW CONSTRUCTION [v] DDITION/REMODEL Q DECK n 0 OTHER SITE ADDRESS: t(5 -S- dolio4y R�. S(bkarne Url(ey, Lufl 110(6 ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: ea ACCESSORY BUILDING BUILDING OWNER NAME: NAME: OLU 0:e^ ADDRESS: l!S S • I, -0( v4`( Cm: Sporte Valley STATE: (N /, ZIP: (LYi16 PHONE: S69- CONTACT NAME: 4.y� 0en FAX: CELL: PHONE: So9 134q-y77c" FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SC9PE OF WORK IN DETAIL,AND INDICATE USE & PROPOSED USE: (\MfIel k v\S1 i1niS�/E�� 'a/Vivi/MI in My/ Loi Eleecit:rrc,11 Sk��t/.fvoc(, 66tf.4 ooMM $ love - Ge I t Ca6e eV t ] c C I N. & K- fa,‘.(;} -r -pi re a l.L r ****YOU MUST COMPLETE THE FOLLOWING**** MARK _N/A IF NOT APPLICABLE Height to Peak: 8 cit. Dimensions:,No. See twi ?km of Stories: Total Habitable Space: (S97 SQ FT Main Floor SQ FT: IS`t7 Upper Floor SQ FT: Unfinished Basement SQ FT: I$47 Finished Basement SQ FT: .— Garage SQ FT: Deck/Covered Patio SQ FT: Impervious Surface Area: 300/o Slopes on Property: -- No. of Bedrooms: a Construction Type:a.4 FroA! Heat Source: (jg,(j aip/(„n-turNeSewer or Septic: Sewer TOTAL COST OF PROJECT: $ DISCLAIMER The permitted verifies, be served by pota.le owner or has perry,, s Spokane Valley Spokane Valley information may acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property n to represent the property owner in this transaction 4) All construction is to be done In full compliance with the City of opme t code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of no a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional d to be submitted and subsequently approved before this application can be processed. Signature Date: ll -q- 2o(2 Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/fllestorage/124/938/210/948/1496/Building_Permit_ _Residential_11-11-11.doc