2014, 06-11 Permit App: BLD-2014-1347 Residence •
Community Development Department (Staff Use Only)
Permit Center
` SH1?
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Spokane Valley, WA 99206
Tel: (509) 720-2540 PERMIT FEE:
Valley 40000 Fax: (509) 688-0037
permitcenterOspokanevalley.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
cii NEW CONSTRUCTION 0 ADDITION/REMODEL Q ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS: 16507 E 10TH LANE
ASSESSORS PARCEL NO.: tL LEGAL D= • • . ,
LAKE 5TH ADDITION iS V/ 3T/7 Prg,oc - Qai__7_ ••
BUILDING OWNER NAME: PPCIPIVED
NAME: ,.--)______L
ADDRESS:
JUN 1 2u14
t
CITY: STATE: CSV PERflifinCENTER
PHONE:5 FAX: SUBl '````7777
CEL R E V. w 1-� I
CONTACT NAME:
PHONE: FAX:
CELL:
CONTRACTOR NAME:LINDSEY CONSTRUCTION INC
MAILING ADDRESS:PO BOX 30792
CITY:SPOKANE STATE:WA Zip:99223
PHONE:509-568-1013 FAX: CELL:
CONTRACTOR LICENSE No.:LINDSCI066OW EXPIRES:2015 CITY BUSINESS LICENSE
NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
WE WILL BUILD A NICE SINGLE FAMILY RESIDENCE WITH AN ATTACHED GARAGE
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: 20 Dimensions:b_/ a No. of Stories: / Total Habitable u,
/ Space: / 7-7
Main Floor SQ FT:. Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
/7Z y FT: FT:
Garage SQ FT: 8i9
N Deck/Covered Patio SQ Impervious Surface 30% Slopes on
FT: / Area: Pr`y:
No. of Bedrooms: Construction Type: Heat Source: MEM.r 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 for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be ubmitted and subsequently approved before this application can be processed.
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Updated 1-11-11 Page 1 of 2
http://www.spokaneva Iley.org/filestorage/124/938/210/948/1496/2743/Res_Permit.doc