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2015, 05-21 Permit App: BLD-2015-1168 Remodel Project #---S1--1) -- Project community Development •epartment R E C I �®ff Use On y) Permit Center CITY OF 11703 East Sprague Avenu-,Suite B-3 PERM UMBER: okane Spokanee 50 ) W 99206 '''' PERMIT EE: ( Tel: (509) 720-5240 Vallee (sitcen) rlaFax: 688-0037 pax: ens•o.okanevalle .or. CSV P JfIT CE SUB # . '%P REV. # RESIDENTIAL. CONSTRUCTIO ` ` ' IT APPLICATION ❑ NEW CONSTRUCTION *. ADDITION/REMODEL ❑ ACCESSORY BUILDING ❑ DECK ❑, OTHER (-(��{JV SITE ADDRESS: / S 1 a _ . ASSESSORS PARCEL NO.: ,1-5- ti / : i`)© f LEGAL DESCRIPTION: Li A/ IA.. f',.1 /=(c,L 0 OWNER/APPLICANT(CHECK BOX,IF MAIN CONTACT El): (8 t� NAME: L. .) L t-t-I y'1_ .`5 (. L-0- t ADDRESS: -: z. 2- " .+`.. _°- ' �' S s .. P C.( CITY: S{)U V\‹ -, u , 0 CSL a,l e j STATE: Ll. f t• ZIP: l ?2 0 1 PHONE: C 5-0 c1 9,3_i-/ -/ ca I( FAX: /0 J+1, EMAIL: k 1 Uf.'�i6it 12 e_01i--t'1-011t t c-- , , C0i TI CONTACT NAME: re. . I LI,t„+`...,- PHONE: to i ! ( 0 jy l FAX: EMAIL: iK. i u, 1'uotc,;Ll`k& CONTRACTOR NAME (CHECK BOX,IF MAIN CONTACT❑): G MAILING ADDRESS: 3 a T L.A.4'k:? r Li € I'` `N, 'f-1.✓1 t- . eic- CITY: 4��o k,i-A.0„e_.- +t- t t e.Li STATE: 63 A . ZIP: )�° 4.,PHONE: ,5"('S 6 -'j.,,-L/ - t a ( L J FAX: M \ EMAIL: CONTRACTOR LICENSE NO.: is Ni t,'Ito(-4 t13 S/&2 EXPIRES: 01 - i`i -I (z CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE; Fl �7�- L •.JvV"� 4./,M� 1,3�1"-�.Ad , ,>' +Z.• l. -�L�C C2=�i�J � N . i LV -0-0.-- vJ ' Es.,.�, L.L.", Yf,"4,---- g X L to !JX c . * YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: !/• No. of Stories: Total Habitable Main FlooSA FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ (®. 5O- .•11 --e4 FT: FT: Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30% Slopes on / 0 A„c FT: _ Area: .&- Property: �-�� No. of Bedrooms: t1,3 Construction Type: L'li)o t Heat Source: R S ewer r Septic: TOTAL COST OF PROJECT: $q ert,. 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 Vail permit Is not a p rmlt or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional Informati may be required to a submitted d subsequently approved before this application can be processed. Signature ii-i.A. _.4.4,112....4.4.--,--N„; Date: 4- 0 7I- - ,. Cy sty 2• 7 -o zo :105 _ 7/ - (7/57/ A.A WOLANIO e..k e_ L-V-13 -61 &.4 q79 / ),) 3 A) 3