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2012, 03-15 Permit App: BLD-2012-0169 Residence
. , C-CL (m k ,, - ' - PG' ., Community Development Department (Staff Use Only) Permit Center SG7TY(3C p 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: pfkane Tel (509) 6Spokane 188-0036ley, WA 99206 PERMIT FEE: Fax: (509) 688-0037 aIle Permitcenter@spokanevalley.org RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING ❑ DECK I,, q �JTHER SITE ADDRESS: I l(4 ZS e _ \� (.__.4\00 "UeAL (. Q , `0 9cO7 ASSESSORS PARCEL NO.:�t52S _39 1Z LEGAL DESCRIPTION: LOA- Z \\. \ J BUILDING OWNER NAME: ` � °�.� NAME: ADDRESS• i CITY: STATE: ZIPf , PHONE: FAX: CELL' CONTACT NAME: ,s td-,4 'i Cy PHONE: FAX: _ CELL:, — OM 1� CONTRACTOR NAME: C 1--C 4-. -:- )( * f- C k -RaYLP.__ MAILING ADDRESS: l V t p ,n` c\`l \ ,, C CITY: (7)Y-_ o U F l STATE: �I\1 O� '\ u�p:: PHONE: 5001_ /-� � 111 99r/P_____ c h 1r7`1 of - PAX: 5( I - ) 74 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 Height to Peak: Dimen qns: No. of Stories: Total Habit jJe IQ 2 y -c f/ ©Ueu 47 I G 7Z_ I Space: 7 27 Main Flo r SQ Upper Floor SQ FT may.` Unfinished Basement S 9., Finished Basement SQ Garage SQ/FT: Declt/ overe atka SQ Impervious Surface 30%Slopes on (el V5 ( FT: /L3 / (55 Area: Property: No. of Bedrooms: a Construction Type: IThe,,i) Heat Source: c.`� 5 Sewer o 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 arloval for violation of federal, state or local laws, codes or ordinances. 6) Plans or additional Information may be requ ed to be submitt d hnd subs -ntly approved before this application can be processed. Signatur `/t.' Date: 3- ) 5-20/2__ BD-02 V-1 Page 1 of 2 ,z9G v -- t 2 0 i i /6 2s s i o rm tir/ Describe the scope of work in detail: Cost of Project: $ Proposed Use: ___Sri �-7 T GAG R . **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABI BLE SPACE: 53- 72 2 C, MAIN FLOORs X TO SQ. ei FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: •- 6J �I 6 %/�¢ AREA: N > FINISHED BASEMENTGARAGE SQ. FIG: DECK/'IV. PATIO 0. FTG: 30%SLOPES ON SQ. FTG: N/� 6 G /2 3 PROPERTY: #OF BEDROOMS: • CONS RUCTION TYPE: HEAT 0 : SEWER OR SEPTIC? 2- r/_ G 1 - . • ' i--- —-- - . , 1 ^,,,,--2 ,' '':_,---f ill -‘, •,-.'‘ , ii •-'` / I • ,,,, t,..,,, ,-rolc,,,t 9 I , ,Na-i,t. i ---i—— ) i 1 1 I , % N . 12- i CY) i 1,3 1 ; PLANNING DEPT. APPROV:D Hi i 1 if .1.- iS Ito 1 s BY: 7114 Z 7-,/ . i t ‘0 ; I IS' i DATE: 3- /4 -OV/2— i - r670111 SY.-7Z. SLimb 0)-1 C,revie. , -------7-- •P , DI 41:60f0A-15: . . No N ; ,^1 kr) I in 6,i. )-0, a "-' - ch.A.,-v ;,. , CO 0 . , . L , , N ‘ 5 i 21 1 N r. v ..4' , f 5 L_ 14 , \o Loi-=-. N 536* i .„.,-. N 32* IS' I 5 f. . -- I lb' 4r._ , 3 (N I 'Vot.xl el- c,),A,S 20-941 30 2;-all Tv C1.41-e., \‘':'-' 201 .1- 4— 1 'Li—2.0 12. A 14.:-7) .r.. .......,..