2012, 09-19 Permit App: BLD-2012-1623 Covered PatioSpokane
_#ValleyF
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 6-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcentera@sookanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
Project #
RECEIVED
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION
0 DECK OTHER
SITE ADDRESS: G/7 f ' Hvu iC-
ASSESSORS PARCEL NO.: LEGAL (MSC-kill
ADDITION/REMODEL
JCf t y cult
ACCESSORY BUILDING
` CSV PERMIT CENTER
r1EZv. 1 I
BUILDING OWNER NAME:
NAME: c kt 6\ (U2.ZPr
ADDRESS:
/-17-1 6, /-k u K
CITY: 6 \C `/i–.% is– ()
STATE: W ZIP:
PHONE:
-7(O -o•3-7s
FAX: CELL:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME• Y ( 'UV\ > (312-`j✓ '-7V / g--5- `'j r,lw,Ths-Y,/eA‘`✓ ✓N
MAILING ADDRESS: ' /Ot) LI. l -hve-
CITY:
PHONE:
570 c- C -
STATE: "V ✓i�
FAX:
zip:: 072:3
CELL: i o / —09q/
CONTRACTOR LICENSE NO.: \FS6`OL.T c2115 F' EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
(ou&rz-e-t) 2>i1-16
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: 1 /
/
Dimensions:
-- = °I' �fOX IZ
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
1
�
Upper Floor S.
1
Unfinished Base!pent SQ
FT: /O
Finished Basem nt SQ
FT:
Garage SQ FT: /
Deck/Covered Patio SQ
FT: IJt{O
Impervious Surface
Area: n(
Heat Source: (O
300/0 Slopes n 7 -
Property:
Sewer or Septic: 6
No. of Bedrooms:
Construction ype:
TOTAL COST OF PROJECT: $ 7-0U 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 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: 002--
Updated
f /r0Z
Updated 1-11-11 Page 1 of 1
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