2014, 10-31 Permit App: BLD-2014-2662 AdditionSpokane
.#Valley4
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter@spokaneva I ley.orq
RESIDENTIAL CONSTRUCTION PER
❑ NEW CONSTRUCTION
0 DECK
SITE ADDRESS: 169Z3 E
ASSESSORS PARCEL NO.:
ADDITION/REMODEL
❑ OTHER
IvI/alJ Atit
0 ACCESSORY BUILDING
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: main E_
ADDRESS: /oq Z3 2 • /P%,1 N A-Ut
CITY: SP0 A-VJt- V A td -Vi
STATE: WA ZIP:
99zo,
PHONE:
FAX: CELL:
CONTACT NAME: blew C£+ MRYT F3R_Ivor 4CC
PHONE: SCCP 3(. ( FAX: CELL:
CONTRACTOR NAME: T Q. m £xct, )Vt .440 net
t%,S 1 G A/
MAILING ADDRESS: 21/3// /J , uto Y 39s
CITY: CO/1354Zr
PHONE: SO9- y 7p -?o Z(�
STATE: WP
FAX:
CELL:
ZIp: 9900
7- 3"255- 22-98
CONTRACTOR LICENSE NO.:SR HU/4bO SS,L eI EXPIRES:/7 /SJ4 q CITY BUSINESS LICENSE NO.: 5/3/ /20/5
7 (pa, age — i
DEzz_
SCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
GoryatoE.+ 13tTr4-t amt ArD1716rJ
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions: /
A-PPRCK• 31 /3H
No. of Stories:Total
1
Habitable
Space:
Main Floor SQ FT:
I SO
Upper Floor SQ FT: )
/ j//�
Unfinished Basement SQ
FT: Njty
Finished Basement SQ
FT: N/f1
Garage SQ FT:
1/06(47
Deck/Covered Patio SQ
FT: 0/A_
Impervious Surface
Area:
30% Slopes on
Property: j/4,_
No. of Bedrooms: N/2-
Construction Type:
Heat Source: FORGED pit
Sewer or Septic: 564N.0 -
TOTAL COST OF PROJECT: $
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: /6A///z/
Updated 1-11-11
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