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2014, 12-18 Permit App: BLD-2014-2970 Residence
Sioliane Valley° 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©snokanevallev.org P ject ,- PER2TtWCl itiV E D FERMI: 18 201it CSV PERMIT CENTER RESIDENTIAL CONSTRUCTION PERMIYAPOLI6TioV I 111 ACCESSORY BUILDING NEW CONSTRUCTION ❑ ADDITION/REMODEL n DECK ❑ OTHER SITE ADDRESS: 1 /703 /</ 17a GS'D 4✓ ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: 4,04- 6/c ? iC„lz 2cKf.s� OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT NAME: ADDRESS: Z 1r7S0/1 —��-Varz,Iy 1Ya4 y /' r5 dei/ ifis CITY: C 6 L-f,AL c.f./Li PHONE: 2 77 % - "JO CONTACT NAME: PHONE: STATE: / %) Fax: z o r y� �1a1743 ZIP:z /`' EMAIL: �ou K {rtti d�At7� , FAX: EMAIL: CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT [ ): MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: EMAIL: CONTRACTOR LICENSE NO.: Lj C 7 j /� EXPIRES: CITY BUSINESS LICENSE NO.:t 1/0 1)1- DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: / 7 Dimensions: 33 > 70 No. of Stories: /r Total Habitable Space: /_:57 Main Floor SQ FT: / 2_ ° Upper Floor SQ FT: 1 Unfinished Basement SQ FT: Finished Basement SQ FT: 7 Garage SQ FT: Deck/Covered Patio SQ FT: 7 67 Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: r S Sewer -or Septic: TOTAL COST OF PROJECT: $ / 3 (3, (7c7r 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 and subsequently approved before this application can be processed. Signature Date: /Y// /`f