2014, 09-23 Permit App: BLD-2014-2326 AdditionRESIDENTIAL
Community Development Department
Permit Center
71703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
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PERMIT NUMB
PERMIT FEE•
4
�! g� REV._
ON PERMIT APPLIPMON
NEW CONSTRUCTION ADDITION/REMODEL ACCESSORY BUILDING
J1 DECK OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO.: y l 3 (, 4 q LEGAL DESCRIPTION:
BUILDING OWNER NAME:
Ptlom: -1--'1-7 - FAX: -"'�-1 CEti: '�
CONTRACTOR NA04E: S LIL61
MALING A�LDDIMS�S:
CITY: i q ., STATE -
YIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE NO.: LH Ui4a�l l,�I L.-,�. EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE,SCOPE OF WORK IN DETAIL AND INDICATE USE A PROPOSIED USE:
*YOU MUST COMPLETE,TkJE FOLLOWING
MARK N /A TF NAT APPLICABLE
Height to Peak.
Dimensions: I I No. of Stories:
Total Habitable
Space:
Main Fodor FT-
Upper Floor SQ FT: Unfinished Basement SQ
finished Basement SQ
Garage SQ
�-
r
11 '
Deck/Covered Pati�SQ Impervious Surface
FT: ; j� Area:
30% Slopes on
trnpertr. --
No. Of Bedrooms:
Construction 'JJ Heat Source: z.,
TOTAL COST OF PROJECT: $
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 pemuss on to represent the property owner in this transaction. 4) AN ConSb1iCtiOn is to be done In full C01'r9lianCe W" the city Of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 57 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.
Effective October 28, 2007 - Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Con5trtittiOA Permit