2014, 03-26 Permit App: BLD-2014-0587 Residence Community Development Department (Staff Use Only)
Permit Center
if ° "C1Ty 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
O�Q Spokane Valley, WA 99206
`i Tel: (509) 720-2540 PERMIT FEE:
Fax: (509) 688-0037
permitcenter@spokanevalley.orq
400
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
® NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ AcffretvitzpetING
❑ DECK ❑ OTHER
SITE ADDRESS:519 N VERCLER RD MAR 26 2014
ASSESSORS PARCEL NO.:45153.3003 LEGAL DESCRIPTION:RAU ESTATES LT 3 BLK
2
CSV PERMIT CENTER
BUILDING OWNER NAME:DENNIS AVDEYENKO, GALINAAVDEYENKO3UD # r7 I ilw'
NAME:DENNIS AVDEYENKO, GALINA AVDEYENKO
ADDRESS:3918 W BROAD AVE
CITY:SPOKANE STATE:WA ZIP:99205
PHONE:(509)768-0386 FAX: CELL:
CONTACT NAME:DENNIS
PHONE:(509)768-0386 FAX: CELL:
CONTRACTOR NAME: QwNe �u\L hzNi>-.. '
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
CONSTRUCTION OF NEW SINGLE FAMILY RESIDENCE
****YOU MUST COMPLETE THE FOLLOWING****
MARK NJA LF NST A.QLABLE
Height to Peak:22.9 Dimensions:39x31 No. of Stories:2 Total Habitable
Space:%8f if s O 5
Main Floor SQ FT:Ial Upper Floor SQ FT:1 7 Unfinished Basement SQ Finished Basement SQ
11C1 "n7 FT:N/A FT:N/A
Garage SQ FT:380 Deck/Covered Patio SQ Impervious Surface 30% Slopes on
FT:66 Area: Property:N/A
No. of Bedrooms:3 Construction Type: Heat Source:CENTRAL GAS Sewer or Se•tic:SEWER
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 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.
Signature n Date:3/20/2014
Updated 1-11-11 Page 1 of 1
C:\Users\DEN NIS\Desktop\Res_Permit.doc
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