HomeMy WebLinkAbout2012, 07-11 Permit App: BLD-2012-1085 Residence Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER:
CITY or Spokane Valley,WA 99206
JLLL�lI�+ Tel: (509)688-0036 •
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Fax: (509)688-0037 4000 Val ' /�
permitcenter@spokanevallev.orq Project # /� jCI--IZ _/
RECEIVED
RESIDENTIAL CONSTRUCTION PER l T APPLI TION
O. NEW CONSTRUCTION 0 ADDITION/REMODEL ❑ ACCESSORY'BUILNG
0 DECK 0 OTHER CSV PERMIT CENTEDt�7 3
SITE ADDRESS: to $ oCi E fl-[[r' 5. a• �,,r,- ' (j)4,
ASSESSORS PARCEL NO.: 5- 3 , ro;Z 'LEGAL''E C• • ION: itrEralkgMfrA
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BUILDING OWNER NAME: 1Fu>,_s /11,3%)A)/11,3%)A) -V-e /0 -
NAME: 44,0;3 Ml,911//I/
ADDRESS: 45754.0 N. ''/
CITY: /4-60X1/9- STATE: AU. ZIP: 9D 0 7
PHONE: FAX: CELL: (c3)3 77 V#3
•
CONTACT NAME: `FOLi 3. ./b h.
PHONE:(6-04)) 7/0 •-,d,?i7y FAX: CELL: (----01) 7/0 —07 7?
CONTRACTOR NAME: 1-/�c+ ,,//- J4orife
MAILING ADDRESS: aC 5-02c2 /1 >�iQG�k2 �2
CITY: (-ii i Aj r STATE: ��• ZIP: 9)6179066
( c3)
PHONE: j¢LpL 7c2 — 53 c90 FAX: CELL: 9H16C.C5-09/ 7/D 02/70
CONTRACTOR LICENSE NO.:. iPJA h go-}7,4��EXPIRES: ,(////q CITY BUSINESS LICENSE NO.: ho, -7V 0 3
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
B,.,,Jd 5I.-k 'firfrm=•) Z.s., 4-I h'ni 4:2_ 7,?..,--3 ;1,1/ li-S� .4-A'b Ac
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****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions. ; iv No.of Stories: Total Habitable �d 6,
,2r .�3 6e7 / Space:
Main Floor SQ FT: Upper Floor SQ FT: UnfinishcBasement SQ Finished Base ent SQ
o2o6p /v/it- F r: /t//�" FT: /L i A
Garage SQ FT: Deck/Col/red Patio SQ Impervious Surface 30%Slopes on
C2g 4 "Z67/ 68. Area: •720 57 0Property: ,/ ,
No.of Bedrooms: 3 Construction Type: 5J-kk. Heat Source: N4-t-. 0445 Sewer or Septic: S '•2
Ti21i>e,
TOTAL COST OF PROJECT: $ /34I & ig 70
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 and subsequently approved before this application can be processed.
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Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
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