2014, 10-28 Permit App: BLD-2014-2631 CarportI. Proje TO-2o(c{—A3 `
Community Development Departm:nt R E C fSl�Js®Only)
Permit EastCeter C
Li,��, 11703 Sprague Avenue, Suite -3� PERMIT NUMBER:
Spokane Tel: (509) 720-2540
Spokane Valley, WA 99206 Q
P Tp E:Ll4
\itlley x Fax: (509) 688-0037
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RESIDENTIAL CONSTRUCTION P ' ' -APPLICATION--
11 NEW CONSTRUCTION ADDITION/REMODEL ❑ ACCESSORY BUILDING
❑ DECK ❑ OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
k1 Agivt—Trt--0
ADDRESS: Mils, 5, itEwN
CITY: 5�pp/{A AJE LA/
PHONE: j50`7 2_20 —6 7 /
CONTACT NAME:
Rd
STATE:
FAX:
CELL:
ZIP: qqZ/�j
!of —D 7/7
PHONE:
FAX: CELL:
CONTRACTOR NAME:
A
Kon
5 i� vC-
MAILING ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DIMRIBE THE SCOPE OF WORK IN DETAI D INDICATE USE & PROPOSED USE:
-N-a SSL -WO- 64-x A�y- orgy- 0,, 3 s•e.,5
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $ -1 Zc .00
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 thls 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 a permit or approv I for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be required + Ike submitted - d'subsequently approved before this application can be processed.
Date: Z g
Signature
Updated 1-11-11
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