2015, 01-20 Permit App: BLD-2015-0088 Residence v
Community Development Department ( Only)
Permit Center ,r, r f" 5 �_ WI�'" ��
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11703 East Sprague Avenue,Suite 8-3 i Pi tMr N =,-1--
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- Spokane Valley,VJA 39206 PERIialT FEE:Tel: (509)720-2540 i
i:ax: (509)588-0037
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RESIDENTIAL CONSTRUCTION PERMIT P 1 CATI9 '
NEW CONSTRUCTION 0 ADDITION/RE ---
ADDITION/REMODEL 0 ACCESSORY-BUIt.�--
---- --
0 DECK 0 aniER
SITE ADDRESS: /'LIZ C 121v L l✓ it vC
ASSESSORS PARCEL NO.: 10 1 J- LEGAL DESCRIPTION:
BUILDING OWNER NAME: ttk�C `€ '14 ' A --E
NAME: U &u c..V\,t1.ri�t � Lim
ADDRESS: Po . &1/44 !Lit 30
CITY: S D1u14L-e., STATE: , 1 s
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FAx(-3z.41qz' - ' caw ) Wzi - /5--//
CONTACT HANE: tri&:\ 6.461..,,V.11,-,„,v-
-PHONE:
c 61..,, .11,,„,v--PHONE: $HCl. I Z? "l<I 3 ? FAX: •1 - !2 cr— �i CELL.: 16:7-424 - =l - f/'CONTRACTOR NAME: 1 -'cL4.ciS t yt4
NAILING ADDRESS: CZ)- iSzN 11-115(1) /
CITY: Sp/Lira_ (I i. STATE: 1,04 ZIP: f' 2/'!
PHONE: r- %"- 1 q 2-9-- t Y&'7 FAx(5 v l I 9z Ej-' &G1- ca 64 - `151/
corrmAcron LICENSE No.:14 414 K N Ff-L- q7;/NK ExPIREs: 3//.3//5‘ ITY BUSINESS LICENSE NO.: 1,2G Yr to(a u RIR.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE& PROPOSED USE:
****YOU MUST CQ IPLErE THE FOLLOWING****
MEEK NIAIF NOT APPLICABLE
Height to PesaiC : I-;, Dimension= , ri „ No.of Stories: Total Habitable
�' J 10 x J 'l -11"c'e r Space:
Main Floor SQ FT; Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
��IO( h �r1 _ F3; 0 1 A FT: /0/
Garage SQ FT: Deck/Covered Patio SQ Impervious 3� on
\ix 7J
No.of Bedrooms:3 Construction Type:t/&) Heat Source: 67lE) Sewer or Sept r
TOTAL COST OF PROSECT: $
DISCLAIMER
The permitted verifies,acithowiedges and agrees by their signature that 1)if this permit is for construction or on a dwelling,the dwelling is/witi
be served by potable water. 2)Ownership of this City of Spokane Valley perms 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 nota permit or approval for any violation of federal, state or local laws,codes or ordinances. 6) Plans or additional
information may be requ'l}ed to be submitted and subsequently approved before this application can be processed.
Signature ;( - Date: // v//5-
Updated 1-11-11 Page 1 of 1
hitp:// .sP ne ley.o9lfi r /124/938/210/ /1496/2743/Res_Permitdoc