2013, 09-12 Permit App: BLD-2013-1831 Accessory BldgNib Kane
one
Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development ww.spok_anevalley.org.com
11707E Sprague Ave, Suite 106
Residential Construction
Permit Application
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PERMIT NUMBER:
PERMIT FEE:
❑ New Construction
❑ Addition/Remodel
❑ Other:
XAccessory Bldg
❑ Deck
SITE ADDRESS
177 18 • 5u nr�5c) I_
1-59-61 o NDS
ASSESSORS PARCEL NO: 50.Z 9 4/. 0 2,06 LEGAL DESCRIPTION:
Building owner
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Name: g.J./N key- .q I Built] i 5, (
Name: f U Ti4 M4Wri5
City: kiele Zip: gg22 8
Address: )2912 e /A71 -Ave Ap4
"44
City: Spe Otrimi Zip: q4,M
IMPERVIOUS SURFACE
AREA:
AO
Phone: Fax:
GARAGE SQ. FTG,
it 90
CONS�R�CFa�ePE:
bJ
Contact Person
Name: Rcif,4 1'7V i aLaS
Phone: ij(,6- 91 el 0P. cj5- G WO
Describe the scope of work in detail:
Contractor
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Name: g.J./N key- .q I Built] i 5, (
.
Address: P. D D. &X Afg ZS 7
City: kiele Zip: gg22 8
Phone: Lag —B1 f;2Fax: .figs —phi q3
_
Lic No: ( Sg - (; :,_ '68: is 4 :'f.
City Business Lic No: (p02. 44. f .5b3
Cost of Project:
$3jz.,5 --
**************The following MUST be complete (write N/A if not a licabl ********
HEIGHT TO PEAK:` ,
DIMENSIONS:
*30xlD
# OF STORIES:
.3-
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
1" '
2"" FLOOR SQ. FTG:
til
UNFIN BASEMENT SQ. FTG:
Ai,41-
IMPERVIOUS SURFACE
AREA:
AO
FINISHED BASEM NT
SQ. FTG: %�1 E}-
GARAGE SQ. FTG,
it 90
CONS�R�CFa�ePE:
bJ
DECK/COV. PATIO:
/L'/A
HEAT SOURCE: N/ft
30% SLOPES ON
PROPERTY:
SEW1�� SEPTIC?
# OF BEDROOMSiV
DISCI AIMFR
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, an subsequently approved efore
this application can be processed. ri t QJ C Cj #' / h * // nE l
Date
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#;
Authorized Signature:
REVISED 6/252005
❑ Other