2014, 07-07 Permit App: BLD-2014-1580 Residenceogoes
*Wane
4°Valley.
Community Development Department
Permit`Centcir -
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
perm itcenter@sooka neva Ileo. orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
Project a -O(-1()
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION
❑ DECK
❑ ADDITION/REMODEL ❑ ACCESSORY BUILDI
❑ OTHER
SITE ADDRESS: f'gQ(o f /1;✓crcrts1
ASSESSORS PARCEL NO.:
Dr.
'''" PERMIT CENT
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: / // (70//3/(PO4'011
ADDRESS: /550 9cii ire Ln .
CITY: ernUr c(‘ Aline
STATE: ,1 7
ZIP: 83f/'
PHONE: cm- y30• yb17
FAX:
CELL:
CONTACT NAME: (.7ftM
PHONE: dog -GGO- 00/3
✓'r
FAX:
CELL:
CONTRACTOR NAME: Mor- Cons-Irvni;on
MAILING ADDRESS: l9S0 5e // r; ✓L.
CITY: COLVe 171/roc
PHONE: 420g - 130- y4 q7
CONTRACTOR LICENSE No.:
FAX:
STATE:,,` ZIP: /231,/if
CELL: do {f - 13o- y 17
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 NOT APPLICABLE
Height to Peak:
029‘
Dimensions:
3g') yZ`
No. of Stories:
G2
Total Habitable
Space:
Main Floor SQ FT:c
R Sr Fi
Upper Floor SQ FT:
11011 S, f;
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT: �n
339 4 S! Ft.
Deck/Covered Patio SQ
FT: iO 3, Fi
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms: 3
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ /000
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 .. violation .,> ederal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and s ntly . 7%.ved before this application can be processed.
Signatur
Date: `7
Updated 1-11-11
C: \Users\levi\Downloads\Res_Permit.doc
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