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2015, 03-30 Permit App: BLD-2015-0690 Residence
CITY OF °6.4°e\taa"" 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©sookanevalley.orq RESIDENTIAL CONSTRUCTION PER .112b -110iUMW PERMIT UMBER: V E D PERMI': CSV PERMIT CENTER S B# • u_ wl 1•► [NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ DECK ❑ OTHER SITE ADDRESS: fcrel.2,0 ty?' ,�cf ,, �� J c_- ASSESSORS _ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: ❑ ACCESSORY BUILDING OWNER/APPLICANT (CHECK BOX, IF MAIN CONTACT 21- RAi..) NAME: j14 "I4 /1/R f' ADDRESS: Pa gay Ice/ CITY: PHONE: cod clt.4 — CONTACT NAME: ��fih�l PHONE: �O' / - G STATE: Fax: ZIP: 0,��A EMAIL: R5'614 ' &/VD /( /7 55 FAX: CONTRACTOR NAME (CHECK BOX, IF MAIN CONTACT ❑): G3755t�t/'c EMAIL:/eMf��l d›/i f %mac .in MAILING ADDRESS: /003 J I JQ CITY: ' t/ STATE: i„/ PHONE: S9 ` 954— Ca; Q3 FAX: ZIP: IQ/y ToNY4 54,21//Ct-cTES EMAIL' varisi CONTRACTOR LICENSE No.: G? pg2AL.5 EXPIRES: 8//p//6 CITY BUSINESS LICENSE NO.: /fro4j1 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: / al Dimensions: 47 ',X CG ` No. of Stories: / Total Habitable Space: / pc -c., Main Floor SQ FT: /cd Upper Floor SQ FT: Unfinished Basement SQ FT; " Finished Bas ment SQ FT: Garage SQ FT: Deck/Covered Patio SQ Fr:3 Impervious Surface Area: Heat Source: Q 5 F/4.- 30% Slopes on Property: Sewer or Septic: „5&,/e< No. of Bedrooms: Construction Type: v--:5 TOTAL COST OF PROJECT: $ /G -pe, pppU 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. Si nature Date: 3—.2/-45