2016, 02-16 Permit App: BLD-2016-0439 ResidentialSpokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenter0sookanevallev oro
RE-SIDE•NTIAL CONSTRUCTION- PERM
NEW CONSTRUCTION
❑ DECK
SITE ADDRESS ,
Project -4 3LP -00 '7
' APPLJE
AONE
❑ ADDITION/ REMODEL a ACCESS60 �&L`D&G
❑ OTHER
CSV aERM;7 CEtJTER
ASSESSORS PARCEL NO.: ,S dM2 _2301i' LEGAL DESCRIPT 4� i _7 REV. -`
BUILDING OWNER NAME'
-
NAME: Halms, 41b^j N crn.f_5
•:Total; Habitable.
ADDRESS: 6bq
Q r,
RZL
CITY: 1� T��yO
STATE: ZIP:
PHONE: JLi I ` C (o 0-7
FAX:- CELL: .
CONTACT NAME:
PHONE: 509 - -a
CONTRACTOR NAME:
i, ►�
FAX: CELL:
Ci 5 a bove
MAILING ADDRESS:
!&k
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE NO.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N..A..IF.._N.O_T_
Height to Peak:
_.
Dimensions: ,
No. Stories:. _
•:Total; Habitable.
Main Floor SQ FT:
Upper Floor SQ FT:
'Unfinished Basemen SQ
Finished . ,cement SQ
!&k
FT: Nik
FT: Ft
Garage SQ FT:
Deck/Covered Patio SQ
Impervious Surface
30% Slopes on
FT: 9$
Area: Not.
Property: NA
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Se tic:
TOTAL COST OF PR03ECT: $ 0 , 000
_ DISCI:A2MER �
The permitted verifies, acknowledges and agrees by their signature that: 1) If thls.permlt 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 I
Information may be required to be submitted and subseouently approved before this application can be processed. I
Signature Date:
I
Updated 1-11-11 Page 1 of 1
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