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2014, 08-26 Permit App: BLD-2014-2048 Residence , Community Development Department (Staff Use Only) Permit Center 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: CITY Spokane Valley, WA 99206 � e Tel: (509) 720-2540 PERMIT FEE: .. Valley. Fax. (509) 688-0037 p ermitcenter©spokanevallev.orq I Project #_ --.aj_q . RECEIVED RESIDENTIAL CONSTRUCTION PERM APPLICATION AUG z 6 NS 0 NEW CONSTRUCTION 0 ADDITION/REMODEL il=1 ACCESSORY BUILDING Q DECK ^I ❑ OTHER } CSV PERr."7 rel ; P SITE ADDRESS: 1 I 1 t - ASSESSORS PARCEL NO.: 3, ,3(1/---W3.2_ LEGAL DESCRIPITIN: f - — BUILDING OWNER NAME: � / NAME: &,-/C CL �47,c //vG'e//T/�-L C, ADDRESS: CITY: Sic k Q' i t 9 STATE: V ZIP: ( 2/ 2- PHONE: (� 0 /U - / c / > FAX: CELL: CONTACT NAME: PHONE: FAX: /e/L,-,,A ,-;) CELL: CONTRACTOR NAME: . ./.._(2/,7 Sc 6-7-4-c: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: 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: Dimensions: No. of Stories: Total Habitable Space: Main Floor SQ FT: 4219 Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ FT: FT: Garage SQ FT: / , Deck/Covered Patio SQ Impervious Surface 30% Slopes on /?(' FT: Area: Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ 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. Ref-ref-iced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley permit is not a permit • approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be s • ' ed and subsequently approved before this application can be processed. ySi nature �T;. Date: /- 6i / / Updated 1-11-11 Page 1 of 1 C:\Users\bryan.happeny\Desktop\BLD APPS\BLD-RES.doc