2013, 08-06 Permit App: BLD-2013-1550 Residence e _
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Community Development Department I (StV wit
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Permit Center f
tTfYQi 11703 East Sprague Avenue, Suite B-3 I PERMITINU IB ••.
1 pp Spokane Valley, WA 99206 l ,"' F�.
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Fax: (509) 688-0037 V •` - I
410001°ValkY permitcenter@spokanevalley.org _ I
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
IN NEW CONSTRUCTION 0 ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS: 16606 EAST TENTH LANE, SPOKANE VALLEY, WASHINGTON
ASSESSORS PARCEL NO.: 45244.3534 LEGAL DESCRIPTION: L34 B2 SHELLEY LAKE
BUILDING OWNER NAME: GREG
NAME: LINDSEY CONSTRUCTION INC
ADDRESS: PO BOX 30792
Cm: SPOKANE STATE: WA zip: 99223
PHONE:568-1013 FAX: CELL:
CONTACT NAME: GREG
PHONE: 568-1013 FAX: CELL:
CONTRACTOR NAME: GREG
MAILING ADDRESS: 16606 EAST TENTH LANE, SPOKANE VALLEY, WASHINGTON
CITY: SPOKANE STATE: WA ZIP: 99223
PHONE: 568-1013 FAX: CELL:
CONTRACTOR LICENSE No.: LINDSCI066OW EXPIRES: 9/13 CITY BUSINESS LICENSE NO.: LINDSCI(t
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
WE PROPOSE TO BUILD A NICE SINGLE FAMILY DWELLING WITH AN ATTACHED GARAGE.
WE PROPOSE TO BUILD A NICE SINGLE FAMILY DWELLING WITH AN ATTACHED GARAGE.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions• No. of Stories: Total Habitable
3 '72�SY Oyf& Space: / 7 -T2-
Main
TZMain Floor SQ FT:7,Z Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
A FT: lQ FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
g0 4 FT: /G/z_ Area: Pro erty:
No.of Bedrooms: 3 • Construction Type: Heat Source: &a— Sewer r Septic:
TOTAL COST OF PROJECT: $ 2.00 p D D
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
infor ation may be required to be submitted and subsequently approved before this application can be processed.
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Effective October 28, 007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms- 0 icial Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
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O N S T R C T I CPO Box 30792 Spokane,WA 99223
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16606E 10th Ln
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LOT 34 BLOCK 2 SHELI.F..Y LAKE S''
3rJ, C11'Y OF SPOKANE VALLEY
COUNTY OP SPOKANE
STATE OF WASH NGTON
SCALE 1:20 I PUBLIC WATER&SEWER
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