2015-08-07 Permit App: BLD-2015-1888 Pole BLDSpokane
...;0olOValley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenter@spokanevalley.org
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CSV PERMIT CENTER
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION---
❑ NEW CONSTRUCTION ❑ ADDITION/ REMODEL ,ACCESSORY BUILDING
❑ DECK ❑ OTHER
SITE ADDRESS: % `i 1 E• EA S? L. A N p CT. S PeD t4Pr*-j F %J4 -e. -LC—
ASSESSORS PARCEL NO.: Alb 3GL/ . OGD B LEGAL DESCRIPTION:
OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT ❑):
NAME: Russ Jo 1-iNSC34
ADDRESS: i L Lt L I E. 1✓ "-rL.4*.J A C"f:
CITY: S P O W -Art -J F- %) AAA-" STATE: uJ A)r ZIP:
PHONE: SD 01- l 3 '" 32-1-7 FAX: EMAIL:
CONTACT NAME:
PHONE:
FAX:
CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT
MAILINGADDRESS: SD 8 N, SO M N E -a Qr,>
EMAIL:
1 132A 1.T4 ft S'TerEL— By 1 L -PI aJ & S
CITY: S P01[Ar94J M VALAe6f STATE: WA ZIP: qqo '3-:iL
PHONE: 5 bC1 - 230 - G $ q S"- FAX: EMAIL: q, b# -al >f W9fee-1 bullcll/
CONTRACTOR LICENSE NO.: GI 13Q A S g IS f QXPIRES: �I iZ l - l ip CITY BUSINESS LICENSE NO.: _ 8,16 - 307
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N /A IF NOT APPLICABLE
Height to Peak:' 13 i
Dimensions:
No. of Stories•
7-
Total Habitable
N � 30
Space:
Main Floor S
Upper Floor FT:
Unfinished Ba�se�ent SQ
Finished Ba ment SQ
FT: /
FT: ,
Garage SQ FT:
Deck/Covered Patio SQ
Impervious Surface
30% Slopes on
-790
FT:
Area:
Property: N D
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ /y, 22S . DD
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 andsubsequentlyapproved before this application can be processed.
%innatllrP .�--�.? .�._. �. C�;� Date: 8/ % ! �5