2013, 04-03 Permit App: BLD-2013-0571 Storage BldgISpokane
Valley
Cuifmunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
Permitcenter(aspokaneva Ilev.orq
,EIVED
RESIDENTIAL CONSTRUCTION PERMIT A* . LICATION
J NEW CONSTRUCTION [] I
ADDITION/REMODEL fr ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS: Ir '9,25 •-.,5 le e&,.-' ill -e— R
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
CSV PERMIT CENTER
1
NAME
rl n ( y � �d 1 , Vis-,`
ADDRESS: / Yy 1 SL. a'�� ���/av✓
CITY: 3ja..,Jz,2,Yst,
STATE:
PHONE: L<--ef f 7 2'166
CONTACT NAME:
FAX: CELL:
ZIP:� 9..24
PHONE:
FAX: CELL:
CONTRACTOR NAME: 9 n r/ Std'. #5I=;
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:
De, eh `1:54-f• l i rbc _
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak:
Dimensions:
K / 7-
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
3 r f
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
ewev)or Septic:
TOTAL COST OF PROJECT: $ , C)t2
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:
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
• SCI MAP
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SPOKAN V -ALLEY
K A4N2E1W'24V3A L
14425
14505
45022.2402
45022.2322
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