2014, 06-02 Permit App: BLD-2014-1262 Addition Community Development Department (Staff Use Only)
Permit C6nt"er
�} '•: 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
SCITYkaone Spokane Valley, WA 99206
Tel: (509) 720-2540 PERMIT FEE:
Va a Fax: 688-0037
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION EZ1 ADDITION/REMODEL Pi ' CESS O� R_,_Y BUILDING
DECK 0 OTHER ""'""'�
Project # 114-pi;?..
SITE ADDRESS:10406 E 6T"AVE
ASSESSORS PARCEL NO.: LEGAL DESCR PTION: RECEIVED
BUILDING OWNER NAME:DAVID SCHMIDT '/
NAME:DAVID SCHMIDT . ,
ADDRESS:10406 E 6T"AVE `' M I T CENTER
C,IjE', . r r-
CITY:SPOKANE VALLEY STATE: A . F V9 d6_
PHONE:509-999-5722 FAx:509-892-6445 CELL:509-999-5722
CONTACT NAME:SAME
PHONE: FAX: CELL:
CONTRACTOR NAME:HOME OWNER
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:
ADDITION TO BACK OF HOUSE FOR KITCHEN
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions:14x20 No.of Stories:1 Total Habitable Space:280
Main Floor SQ FT:280 Upper Floor SQ FT:NA Unfinished Basement SQ Finished Basement SQ
FT:280 FT:NA
Garage SQ FT:NA Deck/Covered Patio SQ Impervious Surface 30% Slopes on
FT:NA Area:NA Property:NA
No. of Bedrooms:NA Construction Type:8T10K Heat Source:NA Sewer or Septic:NA
TOTAL COST OF PROJECT: $8,000
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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 t be submitted and subsequently approved before this application can be processed.
Signature Date:06/01/2014
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Res_Permit.doc
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Applicant Name: tx✓c- S ck M ,t%1 -r Phone : 709 — 999— a 7Z-2—
Site Address/parcel number: '�.:%.'v^,' /0 /O6 C. 6 Lk Aie-
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