2013, 05-21 Permit App: BLD-2013-0942 Pole Bldg•
•
mmunity Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
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PERMIT FEE:
SUB #) 1 I REV.#
RESIDENTIAL CONSTRUCTION PERMIT APPLICAT
❑ NEW CONSTRUCTION ❑ ADDITION/REMODEL
❑ DECK 0 OTHER
SITE ADDRESS: I ISOS E Main
Kg ACCESSORY BUILDING
ASSESSORS PARCEL NO.: 46/ lag-, 03SS
BUILDING OWNER/NAME:
NAME: Hie # Ltiathy /Sag"—
ADDRESS: X180!
LEGAL DESCRIPTION: 6ppoitin i p+ of Boi
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PHONE: vt - 5-4-69
STATE:
FAX: CELL:
CONTACT NAME:
ZIP: 99 Zaco
77o - 22-4,13
PHONE:
FAX: CELL:
CONTRACTOR NAME: Solid StnACAl IYe
MAILING ADDRESS: t127 3,4 N Pins louY9
Cm: Spoi.a.ne
PHONE:
p PAX:
CONTRACTOR LICENSE No.: 8OLSu3SL 8�7 JN EXPIRES: O'-1 POI 5
STATE: (An ZIP:
9'09 -3n -793a:
Gni 1-7
Cm BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE AJSE & PROPOSED USE:
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****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:I . t
Dimensions:
?3v/ 1 $
No. of Stories:
1
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
1 Lj.ij D
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source: Nbrt
Sewer or Septic: Seat,
TOTAL COST OF PROJECT: $ 9 1, O G
pISCLAIMER
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 thls 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 Cky of Spokane Valley Permit Center. 5) The Clty 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 requlre9,te.,e submitted and subsequently approved before this application can be processed.
Signature
Date: 5Z/ /, f
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/8uilding_Permit_ _Residential_11-11-11.doc
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