2015, 06-04 Permit App: BLD-2015-1315 Pole Bldg*lane
Reye
Community Development
Residential Construction
Permit Application
Permit Center
11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206 JUN 0 it
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.ore r. r F P n n! T CENTER
(15 -
Project__
RL, `t.a
..i�w:
£RIV13T NIJIIIHER
PERMIT 1 Etr:
4N1w Construction
Addition/Remodel
n Other:
FnAccessory Bldg
Deck
S1ih ADDRESS: 72dC;;; E r Y -11S5,901
ASSESSORS PARCEL NO: 5 623/, 02-05
LEGAL DESCRIPTION:
Building Owner. ge,e. , k
Name: grt. 9 (
Address: t7,20(.0,
City: Laid lj 1(w State: 4.. Zip: gia/.
Phone: 5-05, I/
rax
Contact Person
Name: G44.E Bugg Err
Phone: 5a9 535 90i6 Ex►- 211
Contractor.
Name: TowN 4 CoualTRy guii- As .r,t/C.
i=i3dress:"5 918'
City:Po,t4.11g .Vdtg r state_1 4, Zip: Jf?2I2
Phone: 530 Fax:5o9 5-3V 2$39
Contractor Lic No:Exp-Date
%w°uc8.zn3c6 : 06130/4
City Business Lic. No: 601 051 4f15
Describe the scope of work ;in-detsi1: Cost of Project:- $ , 7 ,7 ,6
1
Proposed Use: Sc-ra qe
**************The following 1VftJST be complete: (write NIA -if not applicable)**********************
***************
TOTAL HABITABLE SPACE
HEIGHT TO PEAK 1
MAIN FLOOR TO SQ.
FTG:
,732_
FINISHED BASEMENT
SQ. FTG: pt 7 it--
# OF BEDR O S:
DIMENSIONS: - 6
22.103 4 pit -
2
it2"FLOOR SQ. FTG:
r4/
GARAGE SQ. FTG:
# OF STORIS:
UNFIN-BASEMENT SQ. FTG:
DECK/COV. PATIO SQ. FTG:
1MPER\4QUS SURFACE
AREA: wiA_
30% SLOPES ON
PRQ'PERTY: `4 /
CONSTRUCTION TYPE:
Po sr FRAM
HEAT SOU
SEWER OR, SEPTIC?
The permifee verifies, acknowledges and agrees by their signature that 1) If this pemiltr is for construcfion of 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) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
s. 6) Plans or additional information may be required to be submitted, and subsequently approved before
local laws, codes or ordin
this -application can be p
SIGNATURE:
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2,1907
0 Check
❑ Mastercard
Expires:
DATE:
❑ VISA
VIN#: