2005, 10-18 Permit App: 05003939 Enclose CarportSpokane
. VaHey
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)6$-003
www.spokanevallev.oF>;.or4ip.'
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Residential Construction
Permit Application
o New Construction o Accessory Bldg
Aldition/Remodel o Deck
o Other:
SITE ADDRESS '/.
ASSESSORS PARCEL NO: Ica 3 — je d 2 LEGAL DESCRIPTION:
Buildingo��)�p e� !:�
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Name:
Name:/r,. ,I.. ,.---71.12.
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Address: /h, (L 4 o
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City:. C.0 s,.. ,i.c.r-c s
Zip:
i' ail
Phone: 8y%- yyz j— Fax:
CONSTRUCTION TYPE:
ntact'xst
Name: S�
Phone: Se_,.
6725E Cc_Si1r.
Describe the scope of work in detail:
_Contractors
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l:: ^ t S ,
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Name:
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
Address:
IMPERVIOUS SURFACE
AREA: t r ,,
FINISHED BASEMENT
SQ. FTG:
City:
DECK/COV. PATIO SQ. FTG:
Zip:
Phone:
CONSTRUCTION TYPE:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
^i
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?f‘nftcarpO(\--'
s if Project:
(.42E4,J
(VC1 o6 ( y'
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS: - 2,�;w,
tv
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2Nu FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA: t r ,,
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
300/0 SLOPES ON
PROPERTY: j f
# OF BEDROOMS:
niers. A IAO�
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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 submitted, and subsequently approved before
-this-applieation-ean be processed.
Signature)
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
0 Other