2014, 06-15 Permit App: BLD-2014-1546 AdditionSpokane e
#Valley°
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@ sookanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION
Q DECK
SITE ADDRESS: SI
5
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME: Lai
ADDITION/REMODEL 0 ACCESSORY BUILDING
0 OTHER
ill
LEGAL D SC
PTION: R EC
NAME: l.,\\\s Pik .—+ 1/41\/ \\\
S, -COU 12-t - oX (\CoaAu..
ADDRESS:
CITY:
PHONE:
5-0
Q - R21 ck37 k
CONTACT NAME: 0b4 -
LVED
JUL 0 1 2014
CSV PE
STATE: \-.13CSj .S
FAX: CELL.
PHONE: L ..Dg -16 a -'3100 FAX:
CELL: RO.So' 0 Lk3`l3
CONTRACTOR NAME: Nar'tl....WQ�S� a\ tti�te p&Q.Qosat.o.t (> �. rtC 2Ce (CoKfCt`uc�ton
MAILING ADDRESS: 3a, t'z, Z Q.4\kEy\
CITY: PcA,,-(L(\C_ STATE: ILL() ZIP:
PHONE: 0._O'" 76 0---33O0 FAX:
Wilt 6o3 RO7 7 40
CONTRACTOR LkCENSE No. WM,RKa(g6q L 6 EXPIRES:
`b 3 Fs13 SrELL: 4 .og'-2. kCJ l "(- S
tE
6 A6// 5� CITY BUSINESS LICENSE NO.: 6O 3 4(07 740
DESCRIBE THE SCOPE OF WORK IN DETAIL nAND INDICATE USE & PROPOSED USE:
P&\'o iv�ClcSU.%e ot1 AvL Eic$C��r� C1.ec(c, b
AeLe.CLtkto (itot&le Qrorectt.cx 5t 7» K i6' gin, toJe•dno-eacfun(
r( SQeuFcce.t.to-t)
****YOU MUST COMPLETE THE FOLLOWING****
MARK1tl1.A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $
pISCLAIMER
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 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 application can be processed.
Signature
Date: 6As Ay
Updated 1-11-11
http://www.spokanevalley.org/fllestorage/124/938/210/948/1496/2743/Res_Permit.doc
Page 1 of 1
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