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2014, 12-11 Permit App: BLD-2014-2940 Residence
0019\41.,„ kane Community Development Department Proj Permit Center 11703 East Sprague Avenue, Suite B -p Spokane Valley, WA 99206 Tel: (509) 720-5240 Fax: (509) 688-0037 permitcenter©spokanevalley org RESIDENTIAL CONSTRUCTION PE Wr NEW CONSTRUCTION 0 DECK SITE ADDRESS: ZtIII N. ct (StaffUse Only).,., FRNEICNE1413kA PEtrtFF.E• CSV PERMIT CENTER MIVAPPIlitATION ADDITION/REMODEL 0 OTHER to.) 0 ACCESSORY BUILDING ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT D: NAME: TC "'C• v ADDRESS: I2 -o N Loc -4.4 CITY: STATE: 1f" ZIP: PHONE: tfibSI FAX: EMAIL: CONTACT NAME: 31'14 -1 - 992 doh t lac Gn is -t PHONE: S -fa { i r FAX: EMAIL: CONTRACTOR NAME (CHE K BOX, IF MAIN CONTACT L"J) GA -'-( 40 /IFS MAILING ADDRESS: 1 C C CITY: SQO tL, VotlAtil PHONE: Ser b 6c() -1105 I CONTRACTOR LICENSE NO.: (--R 1-iri + v63/4 tL NO.: FAX: STATE: 0/0-- ZIP:(oLf' EMAIL:Gttttote UL &4kDt Lli' EXPIRES: 'I - CITY BUSINESS LICENSE DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: Si 5c %1/41t-1 S L o,.) G-4 i E 1,J I j C. Ale/W-14 r'0 C1 ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: 1 t S i Dimensions: i i X lv No. of Stories: Total Habitable Space: i 605- 0SMain MainFloor SQ FT: `toS Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: t e8 8 Deck/Covered Patio SQ FT: Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: 3 Construction Type: Heat Source:(,.-NvOC.' Sewer or Septic: SridtL TOTAL COST OF PROJECT: $ tifii 00() 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 informat•- be required to be submitted and subsequently approved before this application can be processed. Signature Date: 11--1-//