2013, 08-26 Permit App: BLD-2013-1709 Residence • it> -ZG1 - I ,i
Community Development Department (Staff Use Only)
Permit Center
CTS�� 11703 East Sprague Avenue, Suite 8-3 PERMIT NUMBER:
Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE:
jValley, Fax: itcen 688-0037
nermitcenter@saokanevalley.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION _
NEW CONSTRUCTION • ADDITION/REMODEL ® ACCESSORY BUILDING
• DECK �J ® OTHER _ �•
SITE ADDRESS: 70 02, t�/,L''' -Cr - /bail- / ay/. ' 7-, /•CD J
ASSESSORS PARCEL NO '/ A55.' LEGAL DESCRIPTION: L 3 a/ W d tW &D4
BUILDING OWNER NAME:
NAME: L J L 0 nil ES )(Z2.01‘
1 I% c, pjo
ADDRESS: 210 N,
CITY: Sebefi JE STATE: IY .ZIP: 7 7. ir"
,n ` 2 (G
SlPHONE: 0 92q-1211 FAX: I�ZdS ,i—LN- v/ CELL: - 7/ 7
CONTACT NAME: J jj R c i'Ct �`'
PHONE: 5 .-q2/' )21/ FAX: q 22 -o 9J CELL: SW
44%i
CONTRACTOR NAME: LtJ L ) W E j Li-C;-
MAILING ADDRESS:
21/3/ /In/, LA t J �X� I �/(� /r fi n/
CITY: -SIU!tf JL VALi n/ STATE: iel ZIP: /Y' 2L
PHONE: St - 7 2q- /i-/I JI , {FAX: 922 -V /95-$ CELL: %' !J /L�'
CONTRACTOR LICENSE No.:L.M..1 N � 'L.IeEXPIRES: 7/9 /y- 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 NOT APPLICABLE
Height to Peak: Dimensio i No.of Stories: -
zr
egC7o rr Si r�r�X i// �/ Total Habitab� ,�/
7 Space:
Main Floor S B- Upper''---cr+n• Unfinishedo,,_. s,
/ Finished Basement SQ/ $
-+czr. PT: 3 LJ FT:
GarageS�F FT: 669
v DaIina
Q ImperviouseSf..sar- 30%Slopes on
• Property: ,
No.of Bedrooms: __ Construction Typea)0f9D Heat Source: 6-.1-5 ( vye otic:
TOTAL COST OF PROJECT: $ a�
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 V Iley ermit inure to e property ner. 3) The signatory is the property
owner or has permission to represent the property owner In this tran r�tcio.�Q\a A s r t� }is one in full compliance with the City of
Spokane Valley Development code. Referenced codes are availabl for r>ay►ew �i ' o tSp� 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
informatiionn be requir be submittedandsubsequently approved before this application can be processed.
`r/ ice(/ 0 /.
/J
festive October 07
Page 1 of 2
P:\Community Development\02 Administration\03 Forms -Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
I