2014, 09-11 Permit App: BLD-2014-2170 Remodel Deck Community Development Department (Staff Use Only)
. Permit Center
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Sjö1ine Spokane Valley, WA 99206 Tel: (509) 720-2540 PERMIT FEE:
Fax: (509) 688-0037
perm itcenterCcaspoka neva l l ey.orq
4000
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NE CONSTRUCTION " ADDITION/REMODEL Q ACCESSORY BUILDING
y;1. DECK OTHER
SITE ADDRESS: 105 ) ✓ AP /, . • ! V
ASSESSORS PARCEL NO.: LEGAL DESCRIPTI••N: I
BUILDING OWNER NAME: I
1 �s 9 { 44_
NAME: 74..." �/�.PEP 1 ! 20.7 $
ADDRESS: /0g/6 r 31' ' , 1/L/ C S V PFr:p 1 l CENTER
CITY: 5,40MIL- V)//% FAX STATE: JI ;�s 1 d � — I
ter, �_��__ _'
PHONE: 5 i
V , ?7 7 /r
CONTACT NAME: / /tfra t i6/
PHONE: FAX: CELL:
CONTRACTOR NAME: 0e)
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESC THE SCOPE QF,WORK IN ETAIL A D INDICATE USE & PROPOSED USE:
e�5� I �Z w
****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: $ d C.0
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 subsequentlyueapproved before this application can be processed.
Signature /� ceemi :��e X11 Date: ?"- 7/ " ( Y
Updated 1-11-11 Page 1 of 1
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