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2012, 09-20 Permit App: BLD-2012-1630 Basement Remodel
• Community Development Department (Staff Use Only) Permit Center 11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER: CITYkan0111.#el\ Spokane Valley, WA 99206 Tel: (509)688-0036 PERMIT FEE: �1l� Fax: 688-0037 permitcentcenterCalsaokanevallev.orq RESIDENTIAL CONSTRUCTION PERMIT APPLICATION Q NEW CONSTRUCTION ADDITION/REMODEL 0 ACCESSORY BUILDING 0 DECK p 0 OTHER SITE ADDRESS: 530 6 Al c ��.,6 /et) 5100161A) W -----i -- ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: 1-1 I BUILDING OWNER NAME: a: E s NAME: iq Au r-ie.....g- 'T/�Cf t1 /��A M , ,. ADDRESS: 5.3©4 A/• R f f. /D , dz .1 c Y CITY: 5 p©k/+dc STATE: td A ZIP: 9 t P,. PHONE: 9 79 - 9 7 n2 6 FAX CELL: , y' a NAME: - ` • SI 1 i i. � CONTACT' "' .57-1E'T>�UE i>J w ,(j b/C.. Sa��i > 1_-_� 994- - 902 31 PHONE: FAX: CELL: -a , CONTRACTOR NAME: b/A/ W/ b D%E con/5 TIQLJC--T,o// 11- p-, Cr) MAILING ADDRESS: Ps © • gO X 02 8 7 CITY: 3p D k4/1/ STATE: 1.4)4 bp: 9 e PHONE: 99* - 9 a,*3/ AFAX: ,` CELL: CONTRACTOR LICENSE No.:D>n1�7l G/O0 gA -"-I4� L.../006&23 EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE &PROPOSED USE: 13i}.$ •.M4 JT" 1 aN>s ti >A/c=lobrA)6, o Abe 84771e,A4 ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: ii4 Dimensions: No.of Stories: Total Habitable Space: Main Floor SQ FT: ii Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ A FT: 7 4-5" PT: 74-5- Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on A lA FT: Area: Property: yf No.of Bedrooms:l Construction Type: Heat Source: 6-,45 (=11. �!751!�r' '/� TOTAL COST OF PROJECT: $ /3, 0 0 0 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 requibe submitted and subsequently approved before this application can �bbe processed. a Cp 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