2014, 11-12 Permit App: BLD-2014-2747 Residencecrn �>< Permit Center
Sj ®ikane 11707 E Sprague Ave,
Valley
Spokane Valley, WA
(509)688-0036 FAX: (
Community Development www.spokanevalle '.or
Residential Construction
Permit Application
uitetiut CI
206 RECEIVED
09)688-0037
com
NOV 12 2014
C% NeviPeiiitititiaWn I Accessory Bldg
cudditlo>nodel _lb Deck
a er:
SITE ADDRESS 1130-3 £. Suet Oot..r ✓1 0(:
ASSESSORS PARCEL NO: 95333 LEGAL DESCRIPTION: 5 HP- o ci_ to 40'f g / lc
Name: PA
Phone: 7,11 - ygZ'-/
Describe
the scope of work in detail:
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ct Ki_eLS SP'e-
;ass is..,- ¢ rF ', '1"x �f
Roos
Name: DTaiktcilc) /2oc /C (,-is' f
Name: 0+ R /tits it, r4
Roc IC
Address:
Lic No: .Exp. Date:
City:
Zip:
Phone:
Fax:
Name: PA
Phone: 7,11 - ygZ'-/
Describe
the scope of work in detail:
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ct Ki_eLS SP'e-
;ass is..,- ¢ rF ', '1"x �f
Roos
Name: DTaiktcilc) /2oc /C (,-is' f
Address: Z(, 0 'Z 14 • $`K //i71/44 1201
City: SPo ka.te 1/41 le y Zip: 990/ 4,
Phone: ' Z y- (6 q'f Fax: 976 - eo 911
Lic No: .Exp. Date:
City Business Lic No:
Cost of Project:
$ 75, ode)
**************The following MUST be complete: (write N/A ifnot applicable)**********************
HEIGHT TO PEAK: Z ,
DIMENSIONS: SZ' X 17O
# OF STORIES: I
TOTAL HABITABLE SPACE:
17z-3
MAIN FLOOR TO SQ.
FTG:i% Z 3
2Nu FLOOR SQ. FTG:
.
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA: X130 5-4j f
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
78'3
DECK/COV. PATIO SQ. FTG:
/D Xio
30% SLOPES al
PROPERTY: /V /A-
# OF BEDROOMS: 3
n•nr.1 wuwrr,
CONSTRUCTION TYPE:
wod c) F ce.
HEAT SOURCE:
A r -a. 1 gas 1r — c.e
SEWER OR SEPTIC?
S -e jer
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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
Via
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 8/25/2005