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2014, 08-05 Permit App: BLD-2014-1868 Remodel Project Community Development Department Permit Center 11703 East Sprague Avenue, Suite B 3 PERMIT Ny� Rt 5 2014 HUu U poliQ�l�l i,e Spokane Valley, WA 99206 Tel: (509) 720-2540 j PERMIT FEE: Val ler Fax: itcen 688 0037 4000 pax: (5 9) 688-00 anevallev.org GSV pC(1MiT CENTER SUB # REV. # � RESIDENTIAL CONSTRUCTION PERMIT APPLICATION NEW CONSTRUCTION D ADDITION/REMODEL ACCESSORY BUILDING DECK OTHER SITE ADDRESS: /03* Stra •/ �,4 ,f Va/C y Alt 992.E ASSESSORS PARCEL NO.: / , LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: ) .SpHcr'jC� ADDRESS: //x2/ro fl �eplN CITY: J�GC w STATE: 4}4_ ZIP: 9I9 9/ PHONE: Sof 50-/Ill FAX: CELL: CONTACT NAME: ...6th ov g1,'/Gr PHONE: FAX: CELL: CONTRACTOR NAME: ! Qfs,(oc ( ',Jt''4c//sti MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: F.-am-10 / - s, r /IF(( n ' V- , �14� // L, eti S S 5e6L/ (/xj %/l/ S£C/rns ( ,Sots P 3 /f, ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: No. of Stories: Total Habitable /0 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: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ (StOCO 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: ? /26N Updated 1-11-11 Page 1 of 1 C:\Users\bryan.happeny\Desktop\BLD APPS\BLD-RES.doc