2013, 05-30 Permit App: BLD-2013-0984 Addition, RemodelSi&a�ic e
Walley°
0 Project # 81(1--/3-,/
Community Deve opment DepartM'enP E
Permit Center
11703 Spokane ast Valllley, /A 99206 Avenue, Sui�, fk3 n
Tel: (509) 688-0Q36 M
Fax: (509) 688-0037 CSV PERMIT
perm itcenteres1ka neva ll ev, orq
(Staff
e Only)
NUMBE
No. of Stories:
I
1ERMIT
PERMIT FEE:
Total Habitable
Space: 0
C IT r
SUB # I 1 REV. #
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION [[[ ADDITION/REMODEL
IN DECK ❑ OTHER
SITE ADDRESS: 316 LO_a-i....c- Lh •
0 ACCESSORY BUILDING
ASSESSORS PARCEL NO.: g5>al , 16, 0), LEGAL DESCRIPTION: 5••.31„_
BUILDING OWNER NAME: pay, ol 3 Seu Q 1L;alt
NAME: /t✓1U
�
ADDRESS: 31 0 5 . / Q-A 1tL „c.
cm:�k a nI e da,./k/
PHONE: So A / - !J2 - CP -100
STATE: CUA
21P: 9o/AIG
FAX: CELL:
CONTACT NAME:
PHONE:
406,- yes -6G-7(1
FAX: CELL:
CONTRACTOR NAME: ISIAcol es Ca-SiyL<f1
MAILING ADDRESS: 51 19
3. Yale /tat.
Cm: 5/c kc c. 2
PHONE: (11S�i� Sre 8 - G C % 7
STATE: WA , ZIP:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES: Cm BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSEDUSE: II
l�c••so Ga. -y_ Raj" 7- , Utiit,' oe-ck Cfcvtc'�a...../ oCC4 cDUcr 1' 711 ,
****YOU MUST COMPLETE THE FOLLOWING****
N/A IF NOT APPLICABLE
Heigf)t to PeaQk:
/9/ 'SIA/ 1t
Dimensions:
v< v.' , �. s
No. of Stories:
I
Total Habitable
Space: 0
Main Floor SQ FT:
/C --1/F-/
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT: 13101
Garage SQ FT:
Deck/Covered Patio SQ
FT: 2 S c
Impervious Surface
Area:
30% Slopes on
Tj{
Property:525
No. of Bedrooms: .✓/
1
Construction Type:
Heat Source: /LI/f)
/
Sewer or Septic:ti
TOTAL COST OF PROJEC w a S `S D
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 �r ordinances. 6) Plans or additional
information may be required to be stbmitted and subsequently approved before this application can be processed.
Effective Octo r 28, 2007
P:\Comm ity Development\02 Adm
Page 1 of 2
on\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
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