2014, 03-03 Permit App: BLD-2014-0346 GarageSiiiolkane
Project #122,-P-9-0(1+-
RECEIVE
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RECEIVE
Cornmunity Development Department /
Center
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Spokane Valley, WA 99206
Tel: -(509) 688-0036
Fax: (SO9)6s8-05233V PERMIT CENT
permitcenteresookanevallev.orq
SUB # I REV.
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
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PERMIT
El?€Rr4IT
Use Only)
NJJIaBER:
FEE:
Habitable
l`)( p=si
NEW CONSTRUCTION DI ADDITION/REMODEL
DECK El OTHER
14, ACCESSORY BUILDING
SITE ADDRESS: CO I SJ nJ. .,()bf�S,n(--C' j2..o,A1J
ASSESSORS PARCEL NO.:AS1s %3, '(c)2_O, LEGAL DESCRIPTION:, 1-0.1 •;Z.., E>LA
BUILDING OWNER NAME:
NAME: fr14t(2yVVAY fG=VELtaliM3.T' (i(-cou () ,1)Q6
ADDRESS:13ck AL-eXifJ1'Ji i2- !H4?• E. iriLliJ"L 13
CITY: A FE STATE: uv ,q
Zip: {( ('J42 4T-
PHONE:(2l3) 172 L— 2212
CONTACT NAME: 9,4-u LA 12 -II P\ N-36 NJ
FAX: CELL:
PHONE:,(253) 12z- 22-72 FAX{ 53) c/2(0_-0519 CELL:
CONTRACTOR NAME: 12 -EA LX'Y f }-1nt/la, 5 LN6
MAILING ADDRESS: 13O r -J t --G (�.r-'r(J {.�, (^^ )1\-\/&, L, St—k( YE
CITY: FIFE
PHONE{ '2.5 3/ 02(0- io 8 22
STATE:
V&41 ZIP: ch34: 4t,
FAX:(
2r 3) eft - R✓\5CELL:
CONTRACTOR LICENSE NO.:R \tjl.(11 (i4t\C.i 3 EXPIRES: eqt5 ((4 CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
etlirnti
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No, of Stories:Total
jSpace:
Habitable
l`)( p=si
Main Floor SQ FT:Upper
hl' A
Floor SQ FT:
tV t Y\
Unfinished Basement SQ
FT: / Pc
Finished Basement SQ
FT: I) / A
Garage SQ FT:
7 /_ %
Deck/Covered Patio SQ
FT: IQ /
Impervious Surface
Area:
300/0 Slopes oh
Property: > 0
No. of Bedrooms: IU) VI
Construction Type: tNU)0
Heat Source: I,) / rt
Sewer or Septic:
TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: I) If this permit Is for construttlon or oil a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of thls,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 nota 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
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