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2012, 07-19 Permit App: BLD-2012-1194 Patio Cover
1l - ZO 2-//ft Community Development Department (Staff Use Only) Permit Center 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: cit Orli y� Spokane Valley,WA 99206 PORane Tel: (509)688-0036 PERMIT FEE: �l �✓ Fax: (509)688 0037 perm itcenter@spokanevallev.orq RESIDENTIAL CONSTRUCTION PERMIT APPLICATION 0 NEW CONSTRUCTION ❑ ADDITREMOPPEL ❑ ACCESSORY BUILDING 0 DECK ;'"Ai OTHER SITE ADDRESS: 15142o E 3°-j 400 c € - --- ut.)( SI ©\ib ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: Q ip� e. / e son (� ADDRESS: ) I -1 /Q'�O �E E . i 1 Y CITY: C Y,eQ__,rt rj as STATE: Wad ZIP: °�/P� a I PHONE: 5 09 E344 - 5S3Q FAX: CELL: Sa.t 12...> 8 CONTACT NAME: Irafaeitc45071 P eA 1 —re S C'r 1 PHONE: 509 - .4 pQ -99 39 FAX: CELL: CONTRACTOR NAME: Q W/A.P.X of. i-10 R_. MAILING ADDRESS: 194 Q C) E. ;J rO ye_ CITY: e r-( t/I Q/t 'C.s STATE: W(A./ ZIP: 9 q 0 1 PHONE: 5M - 84 4 - 3 , FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOP OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: 1Z w1d Cover OV.r €xsik-tng Rai, B ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: No.of Stories: Total Habitable . / A ��/ WA. rt Main Floor SQ FT: _ 1�` Upper Floor SQ FT:t r I� Unfinished Basemen. Finished Basement 74. �V !� N /("Y FT: Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on WJ rP FT: ` /Area: Pr y: - No.of Bedrooms: Construction Type: Heat Source: , l i/} Sewer o Septic: 1Jiec o0 TOTAL COST OF PROJECT: $ 15 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 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 by submitte. . • subsequently approved before this application can be processed. oJ Effective October 28,cp01 Page 1 of 2 P:\Community Developmen 02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc „ . . . 3 QZ h G 1 I , m Ii.,., . I „51------- r P., I-J6- 06r 50/ o qp031 i i 4------/f----0/ 0 I III4 Ni ti) 19i1 - , - c r# AI 1 tri 2 VI I )SI 9 \ir I [ — . \ \ s \\J—Or% 'VIM Ci ‘i ........ -- -,--- — 30,esx-e- eek-44 NT— PLANNING DEPT. APPROVED i 11(- :Tits Pi2o>0.-E.,\ 41,(,) .9441t, Nor Be- BY: 46i-77:, ,,,4„-,..„ NUJ ptri_. CoNt,U-r-&-D 7v AN DATE: