2013, 06-19 Permit App: BLD-2013-1146 Pole BldgProject #469410( - f/ I (c mmunity Development Department
��y�r. rm it Center
r� - ' 1703 East Sprague Avenue, Suite B-3
CITY0F Spokane Valley, WA 99206
pol�ane Tel: (509) 688-0036
j' all Ex: (509)668-0037
V Ei permitcenterCo�sookanevalley.orq
oV PERMIT CENTER
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
SUB ¢ I (RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
® NEW CONSTRUCTION
DECK
SITE ADDRESS: (OL,e9 i
ASSESSORS PARCEL NO.:
0 ADDITION/REMODEL
Q OTHER
® ACCESSORY BUILDING
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
kca-> \Z -D7-41 6Fa.)
ADDRESS: C/50 /f 4 4..:spr'j%,j..LTti'1-7
CITY: .45„rD ; t1 1
PHONE:
9fi — (s 54-c,
CONTACT NAME:
STATE:
L�"^r ZIP: 1/dai
FAX: CELL:
PHONE:
FAX:
CELL:
CONTRACTOR NAME: JIU rc6->Si— C- ff)b.J
MAILING ADDRESS: 4'-i IC( e (Jr.
CITY: rE-a I STATE: �,—' �A
PHONE: /�l KI U2Q7 w
CONTRACTOR LICENSE No.:
ZIP:• °t402
FAX: CELL:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
cou5fluter 4o x/oo poLE 05tCr to/ 4'r 6' CovefC-Q ovrah
****YOU MUST COMPLETE THE FOLLOWING****
PPLICABLE
Height to Peak: , '�
t� LJ
Dimensions: f�
'Nv'ycla7p Xj
No. of Stories: `
\
Total Habitable
space:
Main Floor SAbo
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished 835ement SQ
FT:
t
Garage SQ FT: _ _ ti
..•q�/}y��`y'"/
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
300/0 Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted verifies, acknowledges and ag
be served by potable water. 2) •wnership
owner or has permission t. rep
Spokane Valley Develop
Spokane Valley permit
Information may be re
Signature
aq
heir signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will
of Spokane Valley permit inure to the property owner. 3) The signatory is the property
ner in this transaction. 4) All construction is to be done in full compliance with the City of
es are available for review at the City of Spokane Valley Permit Center. 5) The City of
or any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
bsequently approved before this application can be processed.
Date: iq
Updated 1-11-11 Page 1 of 1
http: //www. spokaneva lley.org/fi lestorage/ 124/938/210/948/ 1496/Building_Permit_-_Res identia l_11-11-11.doc
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Project # 1t10_4_01 -)--if
RECEIVED
RECEIVED
1 8 2013
CSV PERMIT CENTER
SUB # 1-21
telot AAA DA -
PLANNING DEPT. APPROVED__
DATE- —lio-I-Icr� t