2014, 07-16 Permit App: BLD-2014-1696 Exterior Basement WallSliCrrY OF 0000*
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Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
peermitcenter sookanevalley.oro
RESIDENTIAL CONSTRUCTION PERM
NEW CONSTRUCTION
DECK
SITE ADDRESS:
ADDITION/ REMODEL
❑ OTHER
20fq - [6Y6
(Staff Use Only)
aect 7=
PERMIT NUMBER:
FLECEIVED
CSV PERMIT CENTER
PPU r CATION
ASSESSORS PARCEL NO.: LEGAL DiSCRIPTION:
BUILDING OWNER NAME: �LDC-),A �- j-- r.,4C
NAME: �� n�
ADDRESS:
CITY• STATE: ZIP:
PHONE: 3 FAX: CELL:
CONTACT NAME:
PHONE:Y
FAX:
CONTRACTOR NAME: ��/,�, �� �Ca•4_YfLi,�Cil�'TiA-'�
CELL:
MAILING ADDRESS'
CITY: �.%�, /�� X �r✓`L� STATE: li'✓eq ZIP:
PHONE' 1� ��U FAX' CELL'
CONTRACTOR LICENSE NO.:.SHxj&-C:,p,2 e'1fs 1 EXPIRES: "�j %— �, CITY BUSINESS LICENSE NO.: E60 2--
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
':;:.oz/ 's'Ld+%Y fc7lL �.r roti Jti�6 i.c/ G St�/i7c',.z�
****YOU MUST COMPLETE THE FOLLOWING****
MARK 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
Finished Basement SQ
FT:
FT:
Garage SQ FT:
Deck/Covered Patio SQ
Impervious Surface
30% Slopes on
FT:
Area:
Property:
No. of Bedrooms:
Construction Type:
I Heat Source:
I Sewer or Septic:
TOTAL COST OF PROJECT:V'
$ / � OCA <-i °
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 besubmittedand subse ugntly approved before this application can be processed.
Signature/Gy�G/�'// Date:
Updated 1-11-11 Page 1 or 1
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