2014, 09-18 Permit App: BLD-2014-2237 Remodel Community Development Department ( G I V
Permit Center ittG
11703Sprague East Sprague Avenue, Suite B-3 PERMIT NUMBER:
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Spokane
� Spokane Valley, WA 99206 rt�
Tel: (509) 720-2540 PERMIT FEESEP 1 8 2314
Fax: (509) 688-0037
\Talley permitcenter@spokanevalley.org
.00CSV PERMIT CENTER
SUB # —7-- REV. #
RESIDENTIAL CONSTRUCTION PERMIT-APPLICATION—
NEW
ERMI -ATIONNEW CONSTRUCTION /-ADDITION/REMODEL ACCESSORY BUILDING
E. DECK D OTHER
SITE ADDRESS: //'-/'r
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: evt1Z1(.C_ f7/4IC .
NAME:
ADDRESS: / 1 /i J � 1�/�1-V
qq
Cm: �+' STATE: 444- ZIP:
17,6
PHONE: FAX: CELL: c G 6 ' 65- 170
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME: ZE-7,1C a„''7e,L):> t17
MAILING ADDRESS: / 4/5/-7-6 C ZC 7 J c q
CITY: j-' vAz-f /-t 7 STATE: L;�y ZIP: �'
TA
PHONE: � 7�l0 1 FAX: •CJ '/ - - /z CELL:
CONTRACTOR LICENSE No.: 7.,/0 uTe.Ll _t3 EXPIRES: f//� CITY BUSINESS LICENSE NO.: 'T';,d '7�(Z`/�o13is
DESCRIBE THE SCOPE OF WORK IN ETAIL AND INDICATE USE & PROPOSED USE:
7 t4/rc#j 44_4.4, //etre,fkov Lite(
velec A'er e l iG jC/zi ►r -7 A)G.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dimensions: No. of Stories: Total Habitable
Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
FT: FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: Area: Property:
No. of Bedrooms: Construction Typ Heat Source: Sewer or Septic:
TOTAL COST OF PROJECT: $ 7,. '5t(_
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 Date: 14
777
Updated 1-11-11 Page 1 of 1
C:\Users\BOOKKE"1\AppData\Local\Temp\Res_Permit.doc
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