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2013, 06-04 Permit App: BLD-2013-1033 Remodel ShopProject # u`ef - - 1433 Community Development Department Permit Center %t ° 1 ty 11703 East Sprague Avenue, Suite B-3 " - "PEariVO31UMBER: Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 1 permitcenterCasriokanev011e\.orq ----- SUL i_1._ I F.EV. 1 1 RE EEVED (Staff Use Only) CSV PE RESIDENTIAL CONSTRUCTION PERMIT APPLICATION 0 ACCESSORY BUILDING 0 !, NEW CONSTRUCTION ►:.'�. ADDITION/REMODEL 0 DECK pdt,E3 OTHER SITE ADDRESS: I M S I D £? L1 S po\cave. lea.\\ty LEGAL DESCRIPTION: ASSESSORS PARCEL NO.: WA ala 03? BUILDING OWNER NAME: ;o* w ca\ wcNN NAME: ADDRESS: CITY: PHONE: (I , 0'1- L) al\ack Sp nl«ne valley Soy -132,3 - 0110 0 C.. CONTACT NAME: I (, 6jf `✓ 0.�� 0.L( STATE: FAX: CELL: ZIP: \ 03 7 sn.k °l5S «&o6 PHONE: S 90 3a,3 - O‘\ O Fax: CONTRACTOR NAME: MAILING ADDRESS: CITY: PHONE: CELL: 5 0 4 • NS 3 - ?DO STATE: ZIP: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIB THE S OPEOF WORK N DETAIL S� INDICATE USE & PROPOSED USE: ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: No. of Stories: Total Habitable Space: 4/000 Main Floor 1QQ0 FT: Garage SQ FT: Upper Floor SQ FT: Unfinished Basement SQ FT: Deck/Covered Patio SQ FT: Impervious Surface Area: Finished Basement SQ FT: / GY, b O 30% Slopes on Property: No. of Bedrooms: Construction Type: TOTAL COST OF PROJECT: $ 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 DISCLAIMER 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 sulmitted and subsequently approved before this application can be processed. Heat Source: (rus Sewer or Septic: 6/ ! 8.0/3 Page 1 of 2 Effective October 28, 2007 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc