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2012, 07-05 Permit App: BLD-2012-1035 Residence
Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 pe rm itcenterCasaoka neva I lev. o rq i (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION NEW CONSTRUCTION NE ADDITION/REMODEL DECK . �� t OTHER SITE ADDRESS:19e7 �. t-yyI.iri iew ASSESSORS PARCEL NO.: %34N, /00/ BUILDING OWNER NAME: ACCESSORY BUILDING LEGAL DESCRIPTION: I . 64 414. NAME: 41 L. 10%1 'ML •,% LLL/� ADDRESS: to IQ IJ.., UJ096Ar./ v�� —\ Ip STATE: • PHONE: 92q - l 21 I FAX: liZ -47 jar ✓ CELL: CONTACT NAME: Q ✓Ji ZIP: 69p PHONE: 97- FAX: 1Zt •0145 CELL: 25W-- "' 77t'i CONTRACTOR NAME: KgJi f.(, hetwpgki rarta MAILING ADDRESS: '51..x 1� U ' tr.(ko, - �/ q CITY: / / u 1 STATE: 'Wk. /f /� ZIP:11 PHONE: Z I/06422 FAX: 1 j,► Z'" �/ M CELL: SF 170 //1111 Oe:7 CONTRACTOR LICENSE No.: iew tilt,' 150 NXPIRES:1- 11,- (Z. CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPEIOF ger Dc.rr DET�� ANDt' I�NDIhCATE .US PROPOSED USE: ****YOU MUST COMPLETE THE FOLLOWING**** APPLICABLE Height to Peak: 1 Dimensions:4i1,4, 1 I' No. of Stories: 1. Total Habitableit„ ,,,.1� Space: Y.,f Main Floor .` Upper Floor SQ FT: Unfinished B 'e�,m�enLSQ FT: ® Finished Basement SQ, FT: --d3?. Garage SQ FT: At 525' Deck/Covered Patio tR FT: ` Impervious Surface Area: --e•-• 30% Slopes on Property: -051;i0No. of Bedrooms: _ Construction Type: 1,4501> Heat Source: 4 , Sewer Septic: TOTAL COST OF PROJECT: $ 75 000 DISCLAIMER �jjLd - to" - toss-- The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit i3 feet ini toirrinn nr nn a riwot ng. rho rlPing is/will be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the pro.3)tory is the property owner or has permission to represent the property owner in this transaction. 4) All Constructions nR lEfiI u;.ifrnce with the Cly of Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The Ciy 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 ges5f3d[ II UU J 2012 Effective October 28, 2007 Pae 1 o ` 2 P:\Community Development\02 Administration\03 Forms - Official VersiOng\Perrmit Centre&ide iah onstruction P rmit App 10.28.07.doc --- 1 • 4P.n' +f T vt it t 5. Project 4 &ii• Zt12.1O3s RECEIVE© JUL 0 5 2012 CSV PERMIT CENTER SUB 4- I 111 REV. d .767,111vo-r )pDti'ial.4 J, mom RECEIVED. - OCT 2 6 2012 CSV PERMIT CENTER SUB # RE 1/. 1� Ewtv