2013, 10-25 Permit App: BLD-2013-2213 Egress Windowsool\ft.
Spokane
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter(a sooka neva llev. orc
r
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 ADDITION/REMODEL CI ACCESSORY BUILDING
OITHER
f i
M NEW CONSTRUCTION
JJ DECK / /�
SITE ADDRESS: 63i (J
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING1/OWNER NAME:
NAME: X / (4 )
ADDRESS: /l
CITU: L/6 7 /V
c__ 3.
STATE://0g
zipY ° °Y /
CONTACT NAME:
FAX: CELL:
PHONE:
CONTRACTOR NAME:
MAILING ADDRESS:
FAX: CELL:
At/ z Lc .
LkL) !`. Az"- ,<cf
CITY: , . `� / Q /_ STATE:
/ ?�--IP�C_.�L Com' FAX: CELL:7*Ci
CONTRACTOR LICENSE No.: , /J _nc �EXPIRES: 72 % //CITY BUSINESS LICENSE NO.: (rj 5 Z �J '°
K�Ifj�1 'vz'"j
DESCRIBE.�COPE OF �WORK IN � "b/ ILAN,P/N/ JINKCA3 & ISO Q$eD USE:
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PHONE:
ZIP:.
****YOU MUST COMPLETE THE FOLLOWING****
K N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ (--T-90'
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit Is for construction or on a dwe11i21g, the�2lwelling i will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The sIgsr'atery ls, hejproOTrty
owner or has permission to represent the property owner In this transaction. 4) All construction Is to be done In full compliance with the C-i7`y 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 per s no a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may b re Ir to beubmitted and'spbsequently approved before this application can be processed.
2 / Date:
Signature
1
Updated 1-11-11 Page 1 of 1
http://www.spokanevaliey.org/fllestorage/124/938/210/948/1496/Building_Permit=Residential_11-11-11.doc
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