2015, 01-12 Permit App: BLD-2015-0046 Patio EnclosureSj61
doValley.
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenterOspokanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
❑ NEW CONSTRUCTION ❑
❑ DECK
SITE ADDRESS: rj' k - 1\464e„,
ASSESSORS PARCEL NO.:
ADDITION/REMODEL ❑ ACCESSORY BUILDING
OTHER
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LEGAL DESCRIPTION:iect.;.9i3-OD�-
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT ❑): o' C E 1 V F n
NAME: Q -C Z , 4‘CN CLW
ADDRESS: i \ )1\4361.c.
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CITY:
PHONE:
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CONTACT NAME:
STATE:
R'
zicki R i15q E R
FAX:
EMAIL:
REV.
PHONE:
FAX: EMAIL:
CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT 56.;
MAILING ADDRESS: P. ( , elth( V - 17 (
CITY: `S `.
t'eci-954r- Sig e"
CONTRACTOR LICENSE NO.: f) E f\ pkRC2 XPIRES:
PHONE:
FAX:
STATE: (j \A ZIP: c 1 �y
EMAIL:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
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****YOU MUST COMPLETE THE FOLLOWING****
T APPLICABLE
Height to Peak:
1 Ga 4l4-
Dimensions:
(`l )C 0....i
No. of Stories:
L
Total Habi 9
Space: !P
Main FI°�r FT:
111
Upper FI�Qr SQ FT:
i..l��'
Unfinishe Q Bement SQ
FT: ��
Finished Ba nt SQ
FT:
Garage FT:Deck/CoveredrA_
I
Patio SQ
FT: , `� `
Impervious Surface
Area: AI/
30% Siopes n
Property: %
No. of Bedrooms: f,3/A
Construction Type: 'Z
Heat Source: A -
Sewer or Septic: /44- t
TOTAL COST OF PROJECT: $ .Z(1 .3d
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.
Signature 11 lidaireLL44it
Date: y
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Project
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RECEIVED
JAN 12 2015
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