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2006, 02-06 Permit App: 06000354 Demo
• drr00012\2„„m. Permit Center Spokane11707 E Sprague Ave, Suite 106 PERMIT NUMBERL S �s Vallev Splley, PERMIT FEE: �t .7 (509)688-0036okaneVaFAX:WA (509)688-003992067 Community Development w w.spokanevalley.ore.corn Residential Construction o New Construction o Accessory Bldg Permit Application o Addition/Remodel ❑ Deck o Other: SITE ADDRESS 't' ©Y /U p kk ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building owner y1-02- Contractor Name: Rai„..-e7 Name: Address: k 22 L S, C'l es r etncc Address: City:_S ,x)i<<, Zip: 9 j Z co ee City: Zip: Phone: 4T- (7 oS Fax: 9 2 2 - 3 4,s• 7 Phone: Fax: Lic No: Exp.Date: Contact Person _50t City Business Lic No: Name: Phone: Describe the scope of work in detail: Cost of Project: $ B-ek1t L aci.rVshop **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. 2ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: AREA: FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON SQ. FTG: PROPERTY: #OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? DISCLAIMER The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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 C-.nte . 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal,state or local laws,codes • .rdinance- 6) Plans or additional information may be required to be submitted, and subsequently approved before this applicaf.n an b- .roc- •d Signature `-/ Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard#: Expires: VIN#: Authorized Signature: REVISED 8/25/2005