2013, 08-26 Permit App: BLD-2013-1710 Residence (A__ , - 17(
Community Development Department (Staff Use Only)
d0.1°°ll�
Permit Center
an����%� kt Sprague Avenue, Suite B 3 PERMIT NUMBER:
Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE:
.0.00Valler Fax: (509) 688-0037
permitcenter@saokanevalley.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION 111 ADDITION/REMODEL 1§1 ACCESSORY BUILDING
■ DECK In OTHER
SITE ADDRESS: I' laic ez_'' /Q j ,4 i I/A
ASSESSORS PARCEL NO.•53794 C7 , LEGAL DESCRIPTION: L5 'e fEZ4 044/911
BUILDING OWNER NAME: ' — ZD 13 - 11(0
NAME: N L * ')1 S �I /�}�/�
ADDRESS:
®21 0 �' 'd '1 Y 1 E 11 S7 30o i,(/ /
CITY: S 'b)(h`�E924-120 1 S(TTA✓TE: t6 ZIP: P 47
PHONE: 36C/_ I FAX: J2i2.-.� OI ,/ CELL: ,_J-/Q- 717S
CONTACT NAME: _D g, l Ah Cit, �y Q CII �j
PHONE: .5 Y342/ 2-i FAX: �'� - /✓ CELL: / --Vig V
CONTRACTOR NAME: LUL } WIL j LLC-
MAILINGCA�D►D�REESS�1: 2//1) �I t LA Idt 1/ es' -17)
WA- �7�f�7�,/
CITY: -_ju��.,/t�fAiL. �V ALLL11 STATE: i I f1 ZIp: (� '9L�[9/l�
PHONE: SLY - 7 L 7` /�// ,/ FAX: Q22 —6/95 CELL: 3-/ -47J 72
CONTRACTOR LICENSE No.:LAfL-//(Jaya `LOEXPIRES: 7-`q'/4/ CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF N9T APPLICABLE _
Height to Peak: ' Dimensio?/ a No.of Stories: Total Habita
O1�7 u __/.60 X w Space: b����v
Main Floor SQ Upper''----cn FT• Unfinished ''.-:;-M‘ Finished Basement SQ
�� . - FT: Sl Jam : FT:
Garage SQF Deck/CovARP e+ D.""SQ Impervious S•.-1 ,... 30%Slopes on
FT: Area: Property:
No.of Bedrooms: Construction
Typeaort9.40 Heat Source: 6-.1—5 ( �r Septic:
`.h.t.
TOTAL COST OF PROJECT: $ BS-C
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 requir,• . be submitted and subsequently approved before this application can be processed.
03
Jrlfective October :, ,107
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P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc