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2015, 04-09 Permit App: BLD-2015-0776 Residence
dCommunity Development Department Pr( ject # (Staff Use Only) I Permit Center pp 1r��++ C 11703 East Sprague Avenue, Suite B-3 PERE F SCIT' of Spokane Valley, WA 99206 �� Tel: (509) 720-5240 PERMATefIEEO 9 201 \T*illeyFax: (509) 688-0037 �'�( 4000, permitcenterOsookanevallev.orq CSV PERMIT CENTER RESIDENTIAL CONSTRUCTION PER A L/ICA1TTON ''*NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING 0 DECK 0 OTHER SITE ADDRESS: /K-- r l( r� (d 0 Lir) ASSESSORS PARCEL NO.: ''f S—ZL,/ y, 3z_// iL LEGAL DESCRIPTION: to 81 OWNER/APPLICANT (CHECK BOX,IF MAIN CONTACT❑): 5hGlietf WK ` NAME: L.I / ldcLe€9,f75. `"fJ2 (1 t '(ADDRESS: P© oz,„ 30792_ CITY: �j�t ij, STATE: fj//9 ZIP: C O,.,3 PHONE: c?Ci c. .t /©()2- FAX: EMAIL: CONTACT NAME: 6-in PHONE: FAX: EMAIL: CONTRACTOR NAME (CHECK BOX,IF MAIN CONTACT❑): MAILING ADDRESS: 61../M.,12.___ CITY: CITY: STATE: ZIP: PHONE: f/FAAXX: EMAIL: CONTRACTOR LICENSE No.: t( r0 S -I`2 ohi. .CIIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: ****YOU MUST COMPLETE THE FOLLOWING**** MARK NLA IF NOT APPLICABLE Height to Peak 1 17/ Dimensions: /3 No. of Stories: i t� Total Habitable 7��i �7`��J Space: G!� So Main Floor SQ �, l / Upper Floor SQ FT• - Unfinished Basement SQ Finished Basement SQ . '7 , �� FT: FT: Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30% Slopes on 70.1 FT: e - L p0 Area: • • y: No. of Bedrooms: VV Construction TypeTL"0_ Heat Source ,L Sewer •r Septic: TOTAL COST OF PROJECT: 7 fant 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 submitted and subsequently approved before this application can be processed. Signature iii../OtMA..--- Date: