2013, 08-27 Permit App: BLD-2013-1712 Residence • Ik.6.__ .7('- 1 3- (7IZ
Community Development Department (Staff Use Only)01°°°\1 .
Permit Center
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Staane Spokane Valley, WA 99206
Tel: (509)688-0036 PERMIT FEE:
rm688-0037
doovalley IL
DFaermi(ce en Hier@sookaneva l ley.o rq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
gNEW CONSTRUCTION • ADDITION/REMODEL ® ACCESSORY BUILDING
111 DECK �y • OTHER � ,��
SITE ADDRESS: des d, �S ze� i111Ce- /��/ le/� �/4-7 ,
ASSESSORS ASSESSORS PARCEL NO.; �r
9y p� - -LEGAL DESCRIPTION: Z ,,,�2,zi./ O'/�� do�
BUILDING OWNER NAME: /� -6 - 2 �3 -17�
NAME: A 1 1 1 E5 LLC. y� er:
ADDRESS: 21Q i f Y 1 1 ST 30. 0C : SPaE 7
/�Q �j (� STATE: /ICY A- ZIP:
PHONE: _5 V f - f 2'I )211 FAX: 92G.-'- oiqc 5"' j
_ CELL: ,_/g�+ / % f'�s
CONTACT NAME: _NW R E /JaCe__
PHONE: 3-0...q2414- /21/ FAX: 9 22 —V' ( 9✓ CELL: 51g
CONTRACTOR NAME: L&/L } ome5 LLC:-
MAILING ADDRESS: 211.) u I i IU1 t V 911J ITT)
CITY: Maki: \ALLL ��(�d1 STATE: i iClQ�,
1 ZIP:
PHONE: 505' Q �- 7 2 - �lI FAX: 1922, -0/95- CELL: ..3rW- !�y 9 72
CONTRACTOR LICENSE NO.:1.40.4/irr iL' I XPIRES: 7-191171.
/ 9 L171. CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
Height to Peak. MARK N/A IF NOT lIPPLICAB
'7,� • Dimensi / 7 No.of Stories: Total Habitaa �y
,lp i Ftoo J�- Upper''--Wter-X.
Space: �/
,/ Unfinished°-------•
�� �� FT: _ Finished Basement SQ
Garage SQFT: • Deck/Cover.,.Da...:..SQ Impervious 5,..42.". 30
FT: /� ea-- Area: P0%Slopes on
No.of rooms: Property:
. Construction TypeL( ' Heat Source: lY
TOTAL COST OF PROJECT: $ �� 4"5 Sewer Septic:
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 _ permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information , ., be requlr•• be submitted and subsequently a
/
q yapproved before this application can be processed.
- ective October :,' 07 / 27
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential ConstructPage 1 of 2
ion Permit
App 10.28.07.doc