20012, 08-20 Permit App: BLD-2012-1357 DeckCITYOFy
Spokane
ValleyX
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@sookanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ ACCESSORY BUILDING
NEW CONSTRUCTION
® DECK
SITE ADDRESS: l c; 11- E
ASSESSORS PARCEL NO.:
❑ ADDITION/REMODEL
❑ OTHER
Lc,i Ii�,, c ; AUG 2 0 2012
LEGAL DESCRIPTION:
BUILDING OWNER NAME: ak.,,1 G wit -814g -
NAME: Pet NJ G (A), %L t SUB #
CSV PERMIT CENTER
ADDRESS: j 2,0 1 E LOvxike 1101..4 CT
CITY: Jf
PHONE: s0`7 - `79 y - c> 3.3L,
CONTACT NAME: is -13
STATE:
ZIP: 1c7 2 1 4°
FAX:
CELL:
5c7 -`79Y -
PHONE:
-`79/
PHONE: So/ — 9 9 % - 33 Fax:
CELL:
CONTRACTOR NAME: AC/%u'i-
MAILING ADDRESS:
CITY:
STATE: ZIP
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLI
Height to Peak:
Dimensions:
/8 )�/2
No. of Stories:
N/k
Total Habitable
Space:
Main Floor SQ FT:
N0
Upper Floor SQ FT:
A%/,4
Unfinished Basement SQ
FT: pi /Fh
Finished Basement SQ
FT: J,l/il
Garage SQ FT:
N //1
Deck/Covered Patio SQ
.g2._ 232
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: n,/4
Construction Type:
Heat Source: ,u/4
Sewer or Septic: a/4 $a..
TOTAL COST OF PROJECT: $ /Sao `�
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.
Date: _/( ,26)/)_
Updated 1-11-11 Page 1 of 1
http://www. spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc
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