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2013, 06-05 Permit App: BLD-2013-1043 Front Porch Community Development Department (Staff Use Only) ,, Permit Center 11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER: SCITY OF Spokane Valley,WA 99206 pokane Tel: (509) 688-0036 PERMIT FEE: \/a11ey& Fax: (509) 688-0037 permitcenter@sookanevailev.ora i RESIDENTIAL CONSTRUCTION PERMIT APPLICATION N W ONSTRUCTIONEl ADDITION/REMODEL ACCESSORY BUILDING DECK lai5 [3 OTHER SITE ADD ESS: l/a j G �a1 Yd,4040_ 1?/< -,� 1 Ile G� , 20 ASSESSORS PARCEL NO.: LEdAL DESCRIPTION: BUILDING OWNER NAME: -61,g 7 a v )c . NAME: 61 lef-) DQ)-VE J ADDRESS: //,-2 L 5 (,i r"c` n djV' L CITY: i?Ok, U _gel STATE: 1/1/4 ZIP: .19 .0 p PHONE: 5 - / 1/ /2 FAX: CELL: Aq. -71.4 ,24/ 1 p-- CONTACT -CONTACT NAME: S-a✓Vle.„ 61_5 h(✓e, PHONE: FAX: CELL: CONTRACTOR NAME: Lill 0e,iG..4 MAILING ADDRESS: 1 'av /V _ . 1)5)(C1" 14, . CITY: o Kt.,vie_ STATE: VA- ZIPP: *76y PHONE: 56 % 1-4 616'--3((4, gFAX: i e CELL: 5O.1 '.5-710-4 ,31 CONTRACTOR LICENSE NO.: LLA_Q/ , ' /93 EXPIRES:2Q I L) CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK�N DETAIL AND INDICATE USE & PROPOSED USE: /frfe.".-D ad-e, -Iron p©.�e. ( ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: ki i�k Dimensions: (t I p No. of Stories: Total Habital�Ie /v t"1 Space: bite?* Main Floor SQ FT: Upper Floor SQ FT:NA Unfinished Bas rent SQ Finished Base)n nt SQ M, rV�A FT: Basil FT: N�A Garage SQ FT: . Deck/Covered Patio SQ Impervious Surface 30%Slopes on NIA- A- FT: lob 5F. Area: V Property: No.of Bedrooms. Construction Type:i/V604 Heat Source: N f c Sewer or Septic: of/pc TOTAL COST OF PROJECT: $ =+SCO, 6 O 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. � 7 Signatureiiii_).14,(1../(1,4Date: /x.6--X__S Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-11.doc