2015, 05-28 Permit App: BLD-2015-1217 ShopCI—CITY OF
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Community Development Department
Permit Center,
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenter@spokanevalley.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION 0 ADDITION/REMODEL
DECK 0 OTHER
SITE ADDRESS: ,V3Z6 .d o
Q ACCESSORY BUILDING
ASSESSORS PARCEL NO.: LEGAL DES ! RI J9N
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT„&:
NAME: /c-),
ADDRESS: V3Z,)G s- c .)OQ,4 •
R CEI VFn
MAY l 8 2015
STATE:
PHONE: 6-45?) I!S . 9// 9 / FAX:
CONTACT NAME: /1-1.C4^3--..21 w-1-4.4-7.51-047
PHONE: .sr/%+
CSV PE FiriW-25-9itartp
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FAX: EMAIL: 4(4
CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT.:
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
EMAIL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
4,d6',aAT,�/ -i , c,7Z ,-i,c 1 7a i32� 1%, �ttfL)2
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak: / ,,
/2 $
Dimensions:
/8 )1.-3 4
No. of Stories:
/
Total Habitable
Space:
Main Floor SQ FT:
/ H
Upper Floor SQ FT:
Gat,
Unfinished Basement SQ
FT: Cb
Finished Basement SQ
FT: C.15
Garage SQ FT:
a.574
Deck/Covered Patio SQ
FT: 45
Impervious Surface
Area:
30% Slopes on
Property: /V 0
No. of Bedrooms: d
Construction Type: ,dfluc
Heat Source: iy/4
wer—o-Septic:
TOTAL COST OF PROJECT: $ /4-450415. !1I
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. Referen - • - available for review at the City of Spokane Valley Permit Center. 5)
The City of Spokane Valley permit is •erm%solation of federal, state or local laws, codes or ordinances. 6) Plans
or additional information may • t• " '�%��' . equently approved before this application can be processed.
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Date: 40.54e45