2013, 08-15 Permit App: BLD-2013-1617 Storage Bldg•
SiMkane
_ M 11ey.
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@spokanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
��- -a) (3 1' 1-1
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
yi NEW CONSTRUCTION
0 DECK II
SITE ADDRESS: `-L2.
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
0 ADDITION/REMODEL ❑ ACCESSORY BUILDING
0 OTHER
. wt.41H6v'Jj /2D•, S Pac,a. it V }�, �4 9q2-14
L4 , 34(4, 13OLFLEGAL DESCRIPTION: 11UtST 6A014S 1AL Ti2S
T (KI Fge_ 409204 s( TIL A of SP -47-111
At.t.bir> s tgos`fi*
NAME: �4N1 �/�O/��3012-►AI
ADDRESS: 49 X7�'t! / • 1. A 1 H r �/ ' - / �j %�
CITY: 6 Pm/4/.1g- �/ P STATE: W 4 . ZIP: /gZ1Y
PHONE:
FAX: CELL:
CONTACT NAME: I�F�IV P At
PHONE:
FAX: CELL:
6D61_ & 51- 3144
CONTRACTOR NAME: ,4 67,4 7-65 CO/4
sTR-14 01.1
MAILING ADDRESS: eP •6 13ONC 1013
CITY:
PHONE:
oris OQC-f1d4 jLDS
sal- a 4 1117
CONTRACTOR LICENSE No.: ERGbICC '7Cab-a- EXPIRES: 10/3! /i 3
STATE: h f k.
FAX:
2q/ -'7a 10-
ZIP:/?'Gbt,'7
CELL: 7 '��CJ-
CITY BUSINESS LICENSE NO.: /40'942,31.11S
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: A4 i
Dimensions: (301 g)
No. of Stories:Total
40, I
Habitable ./
Space: Iv
Main Floor SQ FT /4
Upper Floor SQ 7•
Unfinished Base ent SQ
FinFinished Baseme0
Garage SQ FT:
15-00
Deck/Covered Pa o SQ
FT: /R
Impervious Su ce
Area:
30% Slopes on
Property: N A
No. of Bedrooms:
Construction Type:
Heat Source: 141A-
Sewer or Septic: /11l4"
TOTAL COST OF PROSECT: $ 0OD
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.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Signature
Method of payment: 0 Cash
Bankcard #:
Authorized Signature:
•
Date: g js /3
[Check 0 Visa 0 Mastercard
EXP: VIN#:
i -?(3-- (0(7
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
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