2014, 08-01 Permit App: BLD-2014-1843 Residence Community Development Department
Permit Center (Staff Use Only)
Cil`, 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Spokane Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE:
400017alley Fax: (509) 688-0037
permitcenter@sookanevallev.orq Project -00] ( I
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RECEIVED
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
IN NEW CONSTRUCTION (J ADDITION/REMODEL ❑ ACCESSORY BUILDING
Q DECK 0 OTHER
SITE ADDRESS: ?/U 5 8e,LKi T
ASSESSORS PARCEL NO.: s5-1 91, 06LEGAL DESCRIPTION: I40T a (°,LO c I
BUILDING OWNER NAME:
NAME: ` 'V L v'&E'S LLC
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ADDRESS: I U A) . LA .4)12 A-
J f S �l S u -f-e- 3 6 b Q
CITY: ( k'7 e V/ A C 1 I 3 STATE: 63 ZIP: ! 9 0 S�
PHONE: (SO9 q v- I FAX: ? 2o, 95 CELL:CSO 9 ) a ( 7-/O Z
CONTACT NAME: �J u P e r
PHONE: (,So g ) 9c)(1- I „).if FAX: 9 0)0 - / 9S CELL: (3-09 ) / 7 --
CONTRACTOR NAME: k/U L /4 0 Wl e \ 4L
MAILING ADDRESS: t2 I'C) /0. 1.1 ,/L) 0-e,f Si' 4-
T (jCITY: 5 li k - O e. Q L L e 1 STATE: �� - - ZIP: 99c -6
PHONE: (6v9 � 9 a �- I a / / FAX: ?o)0)—Q I 9,/n S CELL: (.5--4) 9 )a 17— /O.;`
CONTRACTOR LICENSE No.:LAR-/'FO 1+Lig j ci EXPIRES: 7-'I 9-/lp 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: Dimen ions: - No.of 5�tories: Total HabitableAip 14-
OZ� 0 X L/ CJ Space: i 76 O
Main Floor'SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished B sf�ment SQ
b 7 b 4 Pa _ e- FT: FT: /U f t
Garage SQ FT: Deck/Covered P tiro SQ Impervious Surface 30% Slopes on
/. FT: 2 Area: Property:
No.of Bedroortls:A Construction e:Lt.)aD,D_ Heat Source: 6 4-S_ (ewww,or Septic:
TOTAL COST OF PROJECT: $ as- 0-6---0
I
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 a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc