2014, 05-13 Permit App: BLD-2014-1059 Residence Project 4=7 R-D—a°141 —1(1.5
Community Development Department ""
(Sta
Permit Center ""(Staff Use Only)
11703 East Sprague Avenue, Suite 8-3q
Sp\J�� w ll Spokane Valley, WA 99206 PERMI�BF Tel: (509) 688-0036 i PERMIT FEE:
. Valr Fax: (509) 688-0037
permitcenterPspokanevallev.orq
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION* iii
DECK Ill ADDITION/REMODEL ACCESSORY BUILDING
mg OTHER
SITE ADDRESS: .0 a. ... — ' ' . ../ :--- SP6(.411/E d4d12i/liar '.07 .
ASSESSORS PARCEL NO. LEGAL DESCRIPTION: ' Lf ly
BUILDING OWNER NAME:
NAME: Lk.5 L... 3I ES Ur—
ADDRESS:
..(—ADDRESS: 21 L NI Vac/7 ,.m.30
CITY: e E- 4 a ,...... . 7}
STATE: ZIP: 2 yf k
E
PHONE: ... L# ,L 92q-)'211 FAX .,crn - 01 CELL: 5qs ... 74, f .:J
CONTACT NAME: D . . ,.
_c)2 - )2J/
PHONE: FAX: tr �� )) J CELL: `4.7 _I I
CONTRACTOR NAME: Litt L )+V a?� LL C.
MAILING ADDRESS: 2!6 , L Akj if Oa! /'
ri? ' Y Y
CITY: "td�.ff'Rel�,. �1f�TT L...t_L,-µr°� �y
/' �y / STATE: ZIP: �'7L��-��L
PHONE: Siff - 2V 1L-! � FAX: '922 '- �q .9G) CELL: 7 ,.�. 5) 7,
CONTRACTOR LICENSE No.: i-141A91 XPIRES: 7./9-1 ' CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
V1 NE--
****YOU
iv ****YOU MUST COMPLETE THE FOLLOWING****
NARK N1A IF NOT APPLICABLE
Height to Peale Dimension 2
,, �?�,6 k ./�+i No.of Stories:
�5 Lo `7 Total Habitab� /�
Main Floor SQ / ��_,, mn ., Space: ,V2/
1zsgUpper Unfinished o--.,--a « Finished Basement SQ
-: FT: _23 FT:
Garage SQ FT: Deck/Covwrad Dain SQ Impervious$P,rsa�e o
0751 PT: / „� Slopes on
.�-f / Area: Property:
No.of Bedrooms: , . Construction Type Heat Source:
_ 40-5 Sewer Septic:
TOTAL COST OF PROJECT: $ Ct:
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 be requir,• be submitted and subsequently approved before this application can be processed.
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fective October :, ,a07Pae 1 of 2
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P:\Cornmunity Development\02 Administration\03 Forms -Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
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