2014, 11-24 Permit App: BLD-2014-2841 ResidenceSpokane
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
permitcenterOspokanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
X( NEW CONSTRUCTION
❑ DECK
❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ OTHER
SITE ADDRESS: (ISO wct f .5{
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
NAME: cr¢ C04.14 ado: )
ADDRESS: 19$O % )Ae v . 4e) 6,-1c. *SW 1
CITY: Crtu�l t7K,iG
PHONE: D21c7 177. 3C)O0
CONTACT NAME:/36fG+►1/
PHONE: (909.&,0. 00,3
FAX:
Voalkt
FAX:
LEGAL DESCRIPTION: //����;�� Cr�)rc{c q,{
2i1
CONTRACTOR NAME: ,vCf Ccaj1rv(E.0.
MAILING ADDRESS: /yam , ac.tkr,v4,
CITY: ( ur `-(' ,ac
S� �c 4k9gt/0
STATE: -.40
ZIP: Sj 31/J
PHONE: ,20$. 117'
FAX: CELL:
CONTRACTOR LICENSE NO.: ' ts- 1790
EXPIRES: CITY BUSINESS LICENSE NO.: miercc jM 1C
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
5, Aye, i3" fi,s0,6 ec
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
.3�'
Project w —
No. of Stories:
.2
RECEIVED
_TATE: 3pNOV 2 4 2014
.y
LL
CSV PERMIT CENTER
Finished Basement SQ
FT:
SUB ,t,-1 i HIV.
!`F1 1 .
2i1
CONTRACTOR NAME: ,vCf Ccaj1rv(E.0.
MAILING ADDRESS: /yam , ac.tkr,v4,
CITY: ( ur `-(' ,ac
S� �c 4k9gt/0
STATE: -.40
ZIP: Sj 31/J
PHONE: ,20$. 117'
FAX: CELL:
CONTRACTOR LICENSE NO.: ' ts- 1790
EXPIRES: CITY BUSINESS LICENSE NO.: miercc jM 1C
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
5, Aye, i3" fi,s0,6 ec
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
.3�'
Dimensions:
`341Ki z
No. of Stories:
.2
Total Habitable
Space: a///
Main Floor SQ FT:
9(2
Upper Floor SQ FT:
//41
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
,..,,. 4,;.5V
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: 3
Construction Type: tik3
Heat Source:6E4
Sewer or Septic: j,;,,,;;'
TOTAL COST OF PROJECT: $ (Coq COO
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 n. subsegyently approved before this application can be processed. , r
Signatur
Date: I Zi -t I Lk
Updated 1-11-11
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