2013, 05-31 Permit App: BLD-2013-1006 Residence .
Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue,Suite 8-3 PERMIT NUMBER:
Sp_okane Spokane Valley,WA 99206
Tel: (509) 688-0036 PERMIT FEE:
�,Valley� permitcenterC�Fax: (509)688 p0037
sokanevallev.oro
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RESIDENTIAL CONSTRUCTION P RMIT t:TI► &
'KNEW CONSTRUCTION gtADDITION/REMODEL M. ArCBSFiRM334.1ILDING
DECK !ii(tETERZ1.0._A" g
SITE ADDRESS: ( cA� F . '7 v \/ PERMIT CENTER i
ASSESSORS PARCEL NO.: Lk 5' I i.ZSD(p LEGAL D E QNJ,L-, -
BUILDING OWNER NAME: COs`. GONCK ci0--`'•--n Lam'__
NAME: S.)C.A.,Kcolj V \fv_i- (1C
ADDRESS: l `L C E a( /' I /7 (�. ^O`
CITY: .� -1�6� \)`r e. STATE: 1 jb�'C , ZIP: 1 9j jJ I
PHONE: car _ 5( ' IAX: CELL: •
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CONTACT NAME: UCkj,(-\s, V\(_1_, •`1�-v(3
PHONE: (9 \/ FAX: CELL: ` . (�
CONTRACTOR NAME:
1 uks-- C�582 , nOk a G-4�t>� 1 J�'ai-e' �--i K .
MAILING ADDRESS: 0 .
CITY: < �`�� V 0 q.._11--- STATE: LOZIP: ?
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PHONE: ��0 - 9, Q X: 50p` �.Dl ua CELL: Q Q v S,EL
`rte UA, C iztBs ,
CONTRACTOR LICENSE No.: a � .T LC 4.
EXPIRES: I .(
.O t 3 CITY BUSINESS LICENSE NO.:
DESCFMBe.AE�E S��WORC.SKrIvN'��ETAANDAND�I�C-QATE USE &PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N A IF NOT APPLICABLE
Height to Peaks Dimensions: �� No. of Stories: ✓1 Total Habib_ie�o
e�L s ?C ca Space: o/C��
Main Floor SQ+,1 no• Upper Floor SQ FT: sc/ Unfinished Bop �#�ent SQ Finished Baserr�ent SQ
`t 19 Qj Cf FT:
Garage SQ FT: Deck/Covered
�Patio SQ Impervious Sprface 30%Slopes on/ f
5 FT: 11.a b Area: (V/At
4 ' Property: <`I`C��,
No.of Bedrooms: Construction Type: 5{ . Heat Source: CIP1er 1j.„p ewer Dr Septic:
TOTAL COST OF PROJECT: $ I _qi OC �'�`G
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 r view at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval for any violation off al, state or local laws, codes or ordinances. 6) Plans or additional
information may be re • to be submitted and subseq ly appro d fore this application can be processed.
Signature ��,
Date: -5(,3 (3
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
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cm Project # 8 lc(-1 3-1006
PLANNING DEPT. APPROVED
RECE WED
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By: iti,,,, .,;,6 twAr/...4.4_4i 4 1 ‹) S MAY 3 1 2013
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DATE _ PERMIT CENTER
: 16-6-121-3----- ,
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