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2013, 06-03 Permit App: BLD-2013-0989 DeckSpokane 4,/*Valley. C unity Development Department Pe it Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 DermitcenterPsookanevailev.orq RESIDENTIAL CONSTRUCTION PE 13 NEW CONSTRUCTION ® ADDITION/REMODEL DECK go OTHER SITE ADDRESS: t IDO15 /a. to ILJ ) S(?o ASSESSORS PARCEL NO.: LEGAL DES BUILDING OWNER NAME: DA- i) Ol_1 y(l • (Staff Use Only) PERMIT NUMBER: PERMIT FEE: Project #. (3(dI -gS l 11C Af' AAEC-CaftirOrk it ACQE.9S* Y j WLDING - 6 C EL TtOTER CI Tf E3CI L-- F-- REV. tr- Unfinished Basement SQ FT: MA NAME: ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTACT NAME: CALL A L 1 ► -'Q-( 46 C PHONE: .509.- cigi -9 aci V FAX: CELL: CONTRACTOR NAME: [D,„} A:MD C1(W0?. MAILING ADDRESS: Cm: 'v 1AL PHONE: !'i0 l' (atm -01D n CONTRACTOR LICENSE No.: A(�(iQ 2 3L( EXPIRES: e -P/ CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE, USE & PROPOSED USE: Arkin "r -SCA 2 , ****YOU MUST COMPLETE THE FOLLOWING**** STATE:�tkjj FAX: 50( 1 ' 59 { (- 2- 32 - ZIP: • 9�j90 3 CELL: -1 -r,`7 -1 0 () PLICABLE Height to Peak: f.[ A Dimensions: 11 A No. of Stories: Jam( ASpace: Total Habitaple ,A Main Floor SQ FT: A Upper Floor SQ FT: 4 A- Unfinished Basement SQ FT: MA Finished Basement SQ FT: 4 A Garage SQ FT: /i-01/4 Deck/Covered Patio SQ FT: 'co Impervious Surface Area: �A- 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: e�! TOTAL COST OF PROJECT: $ g'IOo 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 r r ent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Developme de. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley permit Is n permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional Information may be requir t be submitted and subsequently approved before this application can be processed. Date: j Z�" 1 Signatur 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