2013, 04-08 Permit App: BLD-2013-0596 Final Inspection Community Development Department (Staff Use Only)
Permit Center
CfFYQ �� 11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER:
Sp�liane Spokane(50 ) ley,W99206
Tel: (509) 688-0036 PERMIT FEE: � - v�
Va11ey.
Fax (509)688-0037
permitcenter@spokanevallev.ora
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NI NEW CONSTRUCTION ADDITIO /TIHEMODEL ACCESSORY BUILDING
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: •
NAME: F✓lx ( to
[[ "'i ?1
ADDRESS: 7 (1(( 1' E r/. �(...tLe. (Ai 19' c . .
CITY: S0okce4�Pi 1U-(( G4 L STATE: CZIP: C (/Z(Z
PHONE: 5t>q. g'-7 -GtDCSr FAX: cELL: I
CONTACT NAME: • • •
PHONE: M c_-k ! Q k(� FAX: CELL: ir
CONTRACTOR NAME: .. . . .
MAILING ADDRESS: -• , ,
Cmf: . .. 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:
cam(,-m..,,q-t , rn ,r" a LEI --o14— 0 3?3 9 E ( i RC-�
o 5-04-m) CO< ..- Fog- SALC OF fea1°(-`-47y
****YOU MUST COMPLETE THE FOLLOWING****
MARK.N/A IF NOT APPLICABLE
Height to Peak: r Dimensions: No.of Stories: Total Habitable
j 8 3(, }C ZU •
/ Space: 7e0 56.
Main Floor SQ FT: Upper Floor SQ FT: /_. Unfinished Baseme SQ Finished Basement SQ
-72-0 bf N( FT: �/ A- FT: /1/f/it
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
(//4" FT: N74 Area: 7 20 s:F Property:
No.of Bedrooms: it/(4 Construction Type: Heat Source: NIS¢ Sewer or Septic: tsreA
TOTAL COST OF PROJECT: $ypl fpo 0-
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-714j 9t(a..•".. Date: ilt-A.0(3
Updated 1-11-11 Page 1 of 1
http://www.spokaneval ley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residentlal_11-11-11.doc