2014, 04-15 Permit App: BLD-2014-0761 RemodelSpokane�
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevallev.orq
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i�ERMYT
PRITEIVED
APR 15 2U14
RESIDENTIAL CONSTRUCTION PERMIT ) TrONTER
REV.;4
I1 NEW CONSTRUCTION
DECK
SITE ADDRESS:
ADDITION/REMODEL
cfft OTHER
Y RUTLD
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS: J --)J cD 1 e/
cIPc
CITY: (�
PHONE' 67) )
CONTACT NAME:
Q. n)
PHONE:
STATE: (Jo \A
FAX: CELL:
ZIP: r'-1 c101 6
FAX: CELL:
/I
CONTRACTOR NAME:
MAILING ADDRESS: .±.(-? C>
CITv: Sync)
j
I� pO, P, h
PHONE: (5-61)I 1) (I !X
CONTRACTOR LICENSE No.:
r' 1 0
FAX:
STATE: () \ , ZIP:
CELL: SA ifl L'
CITY BUSINESS LICENSE NO.:
EXPIRES:
DES,CRIBE THE SCOPE OF WORK IN
DETAIL ANINDICATE US,E USE:
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****YOU MUST COMPLETE THE FOLLOWING****
MARK N A IF NOT APPLICABLE
No. of Stories:
Height
Peak:
Dimensions:
Total Habitable,,
S•ace: 7 C)
Main loor SQ FT:
Garage SQ FT:
Uppe,c Floor SQ FT:
70
Unfinished1Basement SQ
FT: /35e
Deck/Covered Patio SQ
FT: jiA
Impervio s, urface
Area: ii
No. of Bedrooms: _2
Construgtion Type:
TOTAL COST OF PROJECT: $ `/ 4f)
Heat Source: 4-4 S
Finishedasement SQ
FT: AI )4
30% Slopes on
Property: ,/'
Sewer or Septic: tA) e/`'
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:
Page 1 of 1
Updated 1-11-11
http://www.spokanevaliey.org/filestorage/124/938/210/948/1496/Building_Permit= _Residential_11-11-11.doc
A Greener Planet
PO Box 18540
Spokane, WA 99228
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