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HomeMy WebLinkAbout2015, 05-15 Permit App: BLD-2015-1112 Residence Community Development Department (Staff Use Only) Ce ter 11703 sin Sprague 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: Spokane Valley, WA 99206 owe Tel: (509) 720-5240 PERMIT FEE: ley , Fax: itcen 688-0037 .000Val pax: (5 9) 6©spokanevalley.orq RESIDENTIAL CONSTRUCTION PERMIT APPLICATION SI NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING 0 DECK a OTHER SITE ADDRESS: //0 ? M til ASSESSORS PARCEL NO.: I/ Z cel/, 3q-/d LEGAL DESCRIPTION: L- /Q e / OWNER/APPLICANT (CHECK BOX,IF MAIN CONTACT ®n: 51/&1164., l.ai,L c il NAME: Lin V se y e.e i� / dol f r t 11 d ADDRESS: Pd � 3Q7 % 2- �'rnJect # � �p /� / �l (� C� ) I R i L.1,9 E I �! E D CITY: S 2i(�.b1�SL 1�/1 /9)2'3 STATE: ZIP: �)Q ,y l�y 15 Alb PHONE: ?v l - ��� I(/�3 FAX: �INAIL: CONTACT NAME: (oa9 ncni o ; ; I CENTER PHONE: FAX: '! _ _EMAIL; :a`v�, TM I 1 CONTRACTOR NAME (CHECK BOX,IF MAIN CONTACT gib: -------------------------____ MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: EMAIL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DET IL AND INDI ATE USE & PROPOSED USE: . 3r',Id a _/i/C& �1Ii h( Bowe ,i Yeti er _ 1,04A_�� qaz _ ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: ( Dimensions::_ No. of Stories: Total Habitable l [�/�� 14 / Space: 14 Main Floor SQ FT: r Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ / 3 /1/9-- FT: /.5-7, FT: 4 il— Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on qee FT: ;"°l..>/ Area: 2400 Property: No. of Bedrooms: 3 Construction Type:S c Heat Source: Sewer or Septic: i24' 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. to be submitted and subsequently approved before this application can be processed. Signature c-icrLic Date: