2014, 08-28 Permit App: BLD-2014-2077 Egress Windows 7
Project # 5 (O(-ZO
Community Development Department R ESGdfEti &Q)
Permit Center
Simri 11703 East Sprague Avenue, Suite B-3 PERMIT B
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Tel: (509) 720-2540 PERMIT FEE:
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permitcFax: (509)
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4000
SUB # / REV. #
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION 0 ADDITION/REMODEL ❑ ACCESSORY BUILDING
DECK ❑ OTHER
SITE ADDRESS: ///f . Z-Z__c- A-ci
ASSESSORS PARCEL NO.: q.sd$Z-•31cci LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: W - j2 -( S.-/- 1,f:*1S
ADDRESS: //I/ S E Z_Z"i
CITY: )d it04+4c O/rLEy STATE: L/ 4 ZIP: 99 Z r
PHONE: �L- f O - 7 Vg-i FAX: CELL:
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME: ge_ "V-- /9%3e%2c/-tiric5
MAILING ADDRESS: //30 6 _ ?(p'1 /Ike
CITY: 57r<1. (14-c-C-E.-:y STATE: („14- ZIP: 9'2%
PHONE: 3-e,9 9 39 l 2_T FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
/NST►gt4-- Z 6//rss c-.1ireJ-,...-.7 ..)- C.-J -ccS- ii- (s-mh-‘
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****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 Type: Heat Source: Sewer or Septic:
TOTAL COST OF PROJECT: $ li Z_ 1
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 nd subsequently approved before this application can be processed.
Signature Date: 1r" z 'i ' ea /q-
Updated 1-11-11 Page 1 of 1
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