2016, 02-10 Permit App: BLD-2016-0374 ResidentialO� Spokane Valley, WA 99206
Tel: (509) 720-2540
Okane ` Fax: (509) 688-0037
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® permitcenterCalsookanevallev.oro
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Project _
R-E-SIDE-NTIAL CONSTRUCTION- PERMI - APP!A, --
NEW CONSTRUCTION ❑ ADDITION/ REMODEL ID ACCESSORY BUILDING
❑ DECK ❑ OTHER SEB 10 2016
SITE ADDRESS:. 29 9 h S- N 2
ASSESSORS PARCEL NO.: 5-_r-oSz 2303 LEGAL DESCRIPTION: PEH` 1
BUILDING.OWNER NAME- SUB ' ; H!' V
NAME: Hq!de/y'j NoPI?_5
ADDRESS: Z46q -S.-o�s C-14c:,_,j' 1L. SV1I`
CITY: Y�^� STATE: ZIP:
PHONE: "H I - OVZ:/- v (6 v -7 FAX: CELL:
CONTACT NAME: - TyL arZ C4P_jS TolaN,92$C//✓
PHONE: �70 9 - Sid - 09'7q FAX:
CONTRACTOR NAME: S ct r"' e. C15 a bow -
CELL:
MAILING ADDRESS:
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..r.._NO_T_.APpLI.CAB.LE-........... _. .
Height to Peak:
IT Lill 'SD
Dimensions:
No. of Stories:.
Total.: -Habitable.
6 ace• 04
Main Floor SQ FT:
'2_0 Li (O
Upper Flog SQ FT:
Unfinished Basemen SQ
FT:
Finished . ¢ement SQ
FT: ft
Garage SQ FT:
q5,2 -FT:
Deck/Co ered Patio SQ
A
Impervious Surface
Area: P40C
30% Slopes on
Property; NSA
No. of Bedrooms:
Construction T e:
Heat Source:
Sewer or Septic: �EwftZ
TOTA L COST OF PROJECT: $ , 000
_.
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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 I
-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 j
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
Informadon may be required to'be submitted and subsequently approved before this application tan be processed. I
SignatureDate: 2
Updated 1-11-11 Page 1 of 1
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