2013, 06-26 Permit App: BLD-2013-1222 Egress Window ..ummunity Development Department (Staff Use Only) I
Permit Center �//�� l/
_ A
''''''CITY
`� , 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER %�-i./—r3 /�/s e�
Spokane
"�e Spokane Valley,WA 99206
Tel: (509) 688-0036 I
1 PERMIT FEE:
VaB- Fax: (509) 688-0037
permitcenter(@sookanevalleV.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ❑ ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK 2 OTHER
SITE ADDRESS: I )%3 4 0 E Jci-!lel \AJ
ASSESSORS PARCEL NO.: 45I 53.a$0sLEGAL DESCRIPTION: S ce et 4<<..€4
BUILDING OWNER NAME: MI e. 4'-i i e. L.LC .
NAME: Va(lel wA.,9.��.p4{-;,te � L�
ADDRESS: 102 4 O t V aU Qi J&L( (� /..
CITY: S p D k Lt H e V' Cx.�L-Qs4 STATE: IA/ A- ZIp: i 9 021(0
PHONE: 5-b( elZ% "' 8 31 FAX: CELL: sDe(" 2.20-63gI (Pt. ')
CONTACT NAME: D owe, tAe-sr V v-I )'Y P YY lo.e-✓ . . . • .
PHONE: ... DC(— Ci V "-I1 'G - : FAX: 5by-'lget - (a ZO CELL: - 1g D - 3ii I (Nue)
CONTRACTOR NAME: -3e . -
MAILING ADDRESS: . i ' 1 - .
Cm': STATE: ZIP:
PHONE: -• • FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:• • - - •
DESCRIBE THE SCOPE SCOP OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
C �T`e-S5 Vv i A 6 D Lv Or if)eLS t?vv.e k-
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: h I A Dimensions: / ; No. of Stories: V\t A TotalHabitable �� &
( Space:
Main Floor SQ FT: , Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
eN ~A °� FT: ►1 I Dk FT: r I
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
K I G FT: r,/ k Area: Ki A Property: h I et
No.of Bedrooms: Alk Construction Type: i'\1 A _ Heat Source: h 4_ Sewer or Septic: 1\1 tk
i .�- e0
OTwAL COST OF PROJECT: $ d i pe
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 r quired to be submitted and subsequently approved before this application can be processed.
Signature Ill ^(' lit(tt l/44iwbelt, Iii 611i'y► l, , Lac.- Date: 6,(2.413
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit -_Residential_11-11-11.doc