2014, 05-14 Permit App: BLD-2014-1079 Garage Foundation Community Development Department (Staff Use Only)
Permit Center
_ 11703 East Sprague Avenue,Suite,3-3 PERMIT NUMBER:
Spol� ane Spokane Valley,WA 99206
Tel: (509)688-0036 PERMIT FEE:
Valley Fax: (509)688-0037
a e rm i tce n to rP s po ka n eva I I ev.o rq
134) .21)/41- 1U '7 9
RESIDENTIAL CONSTRUCTION PERMIT AiPPLIcATTON
ll NEW CONSTRUCTION El ADDITION/REMODEL f ACCESROWAILO Q
1DECK • El OTHER
SITE ADDRESS: t boil N �
> MAY 14 2014
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: •
CSV PERMIT CENTER
BUILDING OWNER NAME:
+ , ui:s 4t [ I , REV. 4 1 I
NAME: V$kA X C:�i1n " 6..-4kgcy ^J y
ADDRESS:
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CITY: )LGbI/,E ��.✓i"R L y STATE: Oh. ZIP: ! i 4�
PHONE: AZ,9 !� ..^YGg!l /. . FAX: CELL: .
CONTACT NAME: X Et 6..btr! •
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PHONE: G. FAX: CELL:
CONTRACTOR NAME: (,1.,..7E ' ' . • .
MAILING ADDRESS: .0...g7.5 0-.1; -06 • ' y •
CITY: . c��LJ44 0/43/4_07' STATE: LJA ZIP:,:c2�,1'/Z1 rc,.
PHONE: FAX: CELL: . .
CONTRACTOR LICENSE No.: • EXPIRES: CITY BUSINESS LICENSE NO.:• •
DESCRIBE THESCOPp OF WOR IN D TAIL AND NDICATE USE at.PROPOSE USE:
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** *YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions: No.of Stories: Total Habitable
Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
FT: FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: Area: Property:
No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic:
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 e required to be sub tted and subsequently approved before this application can be processed.
Signature 1 Date: 51n1/
y
l .
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
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