2012, 11-26 Permit App: BLD-2012-2158 Addition � proje 6(ct 1 -- z d _
4, RECENED
Community Development Department ' (Reiffyv )
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Lz������pp 11703 East Sprague Avenue, Suite B-3 1 PERMIT NUMBER:
poTY�kane S okane Valle , WA99206 PTc•R.MI r CENTER
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Tel: (509) 688-0036
Fax: (509) 688-0037
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permitcenter@spokanevallev.orq Lib 1�
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ■ ADDITION/REMODEL 0 ACCESSORY BUILDING
DECK MI OTHER
SITE ADDRESS: 14709 E 20th Ave, Spokane Valley 99037
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: Lisa Ackerman
NAME:Lisa Ackerman
ADDRESS: 14709 E 20th Avenue
CITY: Spokane Valley STATE: WA ZIP: 99037
PHONE:509 868 4605 FAX: CELL:
CONTACT NAME: Lisa Ackerman
PHONE: 509 868 4605 FAX: CELL:
CONTRACTOR NAME: Lisa Ackerman --CAA-)vk r
MAILING ADDRESS: 14709 E 20th Ave, Spokane Valley 99037
CITY: Spokane Valley STATE: WA ZIP: 99037
PHONE: 509 868 4605 FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Adding a bedroom&bath in the basement. The outside walls are framed&insulated-will be adding a couple of walls,running electricity&plumbing.
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.- - .aseme . e ou si.- "• are rame. : insu a e.-wi .e a.sing a coup e o wa s,runni . - ••..
****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: .530,,Ade FT:
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: Area: Property:
No.of Bedrooms: / Construction Type: Heat Source: 144.... Sewer r Septic:
TOTAL COST OF PROJECT: $ 54, l -YLIi '.i �.E-k: .')
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.
EffectiveOctober 28, 2007
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P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc