2013, 08-26 Permit App: BLD-2013-1711 Residence • 4P2 - - Zu3 - I/l
Community Development Department (Staff Use Only)
Permit Center
11L ������pp 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
CTF1�J����f"e\liikk
Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE:
valleyperFax:m(5094000
itcenter) 688-0037
@spokanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ® ADDITION/REMODEL ® ACCESSORY BUILDING
. DECK ® OTHER �,./
SITE ADDRESS: ‘0"g5c /,llL 0�C51�s;1y Cj,D7� J
ASSESSORS PARCEL NO �7,/; LEGAL DESCRIPTIO I- 23Z a/if/eZD 412
BUILDING OWNER NAME: i'° -?O k j - 111 I
NAME: N L ` 111(�,(S LLL STE
ADDRESS: 210 .4 Unit Y 1 E 17 ST 300
CITY: 5ebea ,
I�rY"1.� 1 STATE: WA- ZIP:
PHONE: _56/ 924-)21/ FAX: C,2Z Vrc • CELL: �% 1 s
CONTACT NAME: ....Diihi....00-424/-- kE t'C� j� n SW-4g
PHONE: )2-If G�FAX: f 22, -0 1 95 / CELL: V
CONTRACTOR NAME: LAI L } -oW1E-j LLC-
MAILING ADDRESS:,E �{ 2` 0 �0� , U&11 �i�
CITY: _ DYkr-.- Y(ALLLi' STATE: WA- ZIp: q 2L22
PHONE: SO/ - 7 2Y- al/ 'I FAX: Q2Z '-L! /95 CELL: 3-W-79 78
CONTRACTOR LICENSE No.:LIV'L-//6'//138 IL.&XPIRES: 7 /91 y CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
'NARK N/A IF N9T_APPLTCABLE
Height l � // Dime rs, i No.of Stories: Total Habitab�� , / rrs -
10 �J
� / Space:
Main FIgQr S¢ -
U.per�' ^-cot oTc
• Unfinished --^-•-%-*6 Finished Basement SQ
� O --." .-- FT: FT: -=
Garage SQ FT:
/2....„-- Deck Cov.roc.D Iii,/SQ Impervious S".4S."- 30%Slopes on
9340 FT: /.40- Area: Property: .
No.of Bedrooms: Construction Typea,11:2D Heat Source: 6.11-5 C.Seir Septic:
TOTAL COST OF PROJECT: $ Bs- l 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.
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P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc