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2012, 03-16 Permit App: BLD-2012-0170 Residence 61 Pc) ,(An"-F community Development Department Permit Center (Staff Use Only) C11Y(» 11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER• 3 — 12— 1 0 Spokane Spokane Valley, WA 99206 Tel: (509) 688-0036 PERMIT FEE: Fax: (509) 688-0037 all Vey- 40000permitcenter@spokanevalley.org RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING ❑ DECK �.� 111 OTHER SITE ADDRESS: 1 I.A 11 p . 1tbre ASSESSORS PARCEL NO.: LI a,(14. 34($ LEGAL DESCRIPTION: kO{- g Flt_I BUILDING OWNER NAME: alp1 j, NAME: ��tfl ADDRESS: CITY: STATE: -" --- PHONE: f it-,,t--, i, , a FAX: r CELL: r l'3'-S1),a I-)f CONTACT NAME: r� . a PHONE: ` :nyo:2_. . ` fFAx: rA CONTRACTOR NAME: i)D( P-try h�d�� N `��' E i Name -t'Vs'�l� CA �1 . A a + 1.2.-- -,;,;/-----1-------- „1u ;�ilitt MAILING ADDRESS: LJ lV ! i C Q(�(1Q U SuslA �[ C...._ __ 1 Q CITY' �K'(� �'y a� STATE:�3 -�L ZIP: PHONE: CJ'."I 6'10 FAX: 5(13 qaa 2771 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 Heiggh�)to Peak: Dimension s: No. of Stories: t Total Habi 7 2Y — C7UFw��/ 72 g52 4 Space: `-,� 3 31 Main Floor SQ FT:! Upper Floor SQ FT: p� Unfinishe a me t Finished Basement SQ 1(p'S 7 1 1,0 �1 FT: ft. FT: CJ-- Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30% Slopes on Oil-- 7 U Fr: tcPinoQ Area: Property: No. of Bedrooms: Construction Type _ Heat Source: CA C) 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. 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 f.r any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional Information may be required to be sub 7tted and s j•equently approved before this application can be processed. N Signatu 16-20/2 Date: 31 BD-02 V-1 Page 1 of 2 66.s a i . 1 ai 1 i j )4. r/ ©-Rq 171 \701 76p I 16' '9 I i( 13 I a i 13 6 r i�ASe vn e w -?]. I p l A 6ovU A-L- 1 i C7. �-6� 4,64,41 �.4.-'h n. i _q/i R N 24 ' '2 1 i a_ ('‘, 4 hiw r._ i e, .\ , uV i :j-xp IM� C6 1 3 " r j I t i 1 R t F� CQ� i f O , YLEI __ 3' • 9i. 7UU(711tici1 to b 0 i� -' �' 1 1 N 3 N ' I ` 1 I 2, ; S_, ,, i i ?-7 22'0/ Z0 Q1. 1s. \O IOV) , N /0'UN 1 , 7S.9 e, PO eYt 6,,a.s ,5101/ "2 -7_,v, 3 -, Zj, • PLANNING DEPT. APPROVED `-``--. .___________, -1./ _d,�1 / IL____ • BY. .47nt LOT= 9,359lit -- v - L.DT 8 bZ 5 (,-,el1Q i t^44,,,e_ si", 0,.►n , 0;