2014, 09-15 Permit App: BLD-2014-2189 Residence Prajcet -00 ' j D(3e _
Community Development Department
Permit R g5 Dy
11703er
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CenterEast Sprague Avenue, Suite B-3 PERMIT NUMBER: (/✓�
SpokaneSpokane Valley, WA 99206 t1 Tel: (509) 720-2540 PERM E:1 5 7(liIi
`alley. Fax: (509) 688-0037
permitcenter@spokanevalley.orq CSV PERMIT CENTER
SUB # / : V
RESIDENTIAL CONSTRUCTION PER ., A i •
NEW CONSTRUCTION 0 ADDITION/REMODEL El ACCESSORY BUILDING
DECK OTH /f �j /
SITE ADDRESS: 7S-2-3 Lr Ate. C�/ -e= 5 • /L/4 F(%3
1 � �
ASSESSORS PARCEL NO.: S:51' L, 03 {j_EG/AL DESCRIPTION:
BUILDING OWNER NAME: 16---kr 4-- -I�. j '
‘(.111---
NAME: L�L S 4- ( r' ,_ / ../ .Ire C
ADDRESS: /dam i i V �- /n
CITY: S ocfrt ^' ' uL STATE: [ ili ZIP: .7��
PHONE: Jv�`�,jLi^� 1/ j � FAX:
L CELL:
CONTACT NAME: 6azi3O 7315 `�cN`- �4'i
PHONE: 57--)f — ',2.-4."----- �s / FAX: CELL:
CONTRACTOR NAME: /1/-, ,11--0 .TAI co
MAILING ADDRESS: O (? / 64(
CITY:
veviavese_
STATE: W/4- ZIP: 'FP03
PHONE: •37 3e' Wal--„2-( FAX: CELL:
�CCONTRACTOR LICENSE No.: . O i XPIRES: 3 ,:71-0/5--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: f Dimensions: ( G ( No. of Stories: . Total Habitable
ic�j C Space:
Main Floor SQ FT:*- Upper Floor Unfinished Bas ent SQ Finished Base nt SQ
1- fJ) �. FT: N 4- FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Su ace 30% Slopes on .•/
t.
�/� FT: Area: Property: N/
I No. of Bedrooms: '3 Construction Type: 1&J (,/A Heat Source: 605' �•r Septic:
At/
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. 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 require. • be submitted and subsequently approved before this application can be processed.
Signature i ', € s' Date: [q
/C Iii
Updated 1-11-11 Page 1 of 1
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