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2014, 10-28 Permit App: BLD-2014-2641 Duplex Community Development Department (Staff Use Only) Permit Center 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: Siliokane Spokane Valley, WA 99206 Tel: (509) 720-2540 PERMIT FEE: T T���e�K Fax: (509) 688-0037 �/ permitcenter(&spokanevallev.ord � Project ,= Y�wg.o(�-G�" RESIDENTIAL CONSTRUCTION PERMIT ARMLLtA''N1 NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACSEIS` tMILD 0 DECK 0 OTHER// SITE ADDRESS: /27/2 -14 q // I CSV PE` MIT CENTER ASSESSORS PARCEL NO.: LEGL DESCRIPTIO k . � % - �,(�T y t BUILDING OWNER NAME: ,3-1/ - P'Phi-J13 1 .. ,i -. .- NAME: 1 PX Rfr5 1/114€6.5 1-Z- 6,-,-' -Z- C ,- ADDRESS: d / V 171 4 b'4 V 4 / CITY: PDX171/„ STATE: /i 415, /�y/� ZIP: 7- '-- PHONE: FAX: /�C�EL✓L�:/ ��� CONTACT NAME: ��� P,/�� j' i,/' Afj 4 �iflt�i/l( BZ/, 7- PHONE: FAX: CELL: CONTRACTOR NAME: L� j j MAILING ADDRESS: 5 a//(�/� ) 44ejy'� 11 rn` y5 C CITY: ` ra STATE: d i���T71/ ZIP: 17Z //,, PHONE: - t7( FAX: c-5L - Z 3 / CELL: 9 cl- 0 ,. �� `(!/7 CONTRACTOR LICENSE No.:PA / Z, MEXPIREs: /_g-2,a ITY 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: S / Dimenssn�:y,76 e�/- No. of Storie,: Total Habit�ble �a/- ?'T !�- �1 Space: `t 4 Main Floor SO FL., E Upper r SIFT: Unfinished Basement SQ Finished Basemen SQ // Azti NFT: FT: AV 0 AA(( Garage SQ FT: Q Deck/Covered Patio SQ Impervious Surface 30%Slopes on 47 e"di FT: NO W Area: Property: iv 6 No. of Bedrooms: (acts Construction Type: W0 0O Heat Source:F Ark 6,4S Sewer or Septic: SPaVer- 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 approya or any violation of federal, state or local laws, codes or ordinances. 6) Plans or ad itional information may be required to be sub it e d bsequently approved before this application can be processed. Signature Date: // 71/ Updated 1-11-11 Page 1 of 1 \\server0\users\mwagenblast\My Documents\Downloads\Res_Permit.doc