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2012, 11-26 Permit App: BLD-2012-2158 Addition � proje 6(ct 1 -- z d _ 4, RECENED Community Development Department ' (Reiffyv ) �� Permit7Center Lz������pp 11703 East Sprague Avenue, Suite B-3 1 PERMIT NUMBER: poTY�kane S okane Valle , WA99206 PTc•R.MI r CENTER TER Tel: (509) 688-0036 Fax: (509) 688-0037 .e___... permitcenter@spokanevallev.orq Lib 1� 400111FValleyt S . it 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. -Rddrrrg-ebedroo- • .- - .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 //` (1 // � Page 1 of 2 P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc