2014, 06-02 Permit App: BLD-2014-1260 Addition Project # 3j -„9-etc-/- ( 60
Community Development Department - _
Permit Center iiir
SHYOF 11703 East Sprague Avenue,Suite B-3 PERMIT '1vr E . ir�
Spokane Valley,WA 99206 UNN uu
ol�ane Tel: (509) 688-0036 PERMIT FEE:
400'. ley Fpermiax: (centerCu�sp509) 688-0037
okanevallev.orq
SUB # W REV. # �_�
RESIDENTIAL CONSTRUCTION PERMIT AP ' LICA - 0
NEW CONSTRUCTION \ i ADDITION/REMODEL E ACCESSORY BUILDING
El DECK Et OTHER
SITE ADDRESS: I 19 I\ E a Ne-
ASSESSORS PARCEL NO.: 4-2.--3 ,I kO/?U?LEGAL DESCRIPTION: ;v-f\
BUILDING OWNER NAME: (,\SRR: -iVsc) ?JLL S141'00( .C.
NAME: L\ ZA L Lk., i)1. \cc
ADDRESS: 1,l 9. �1''i E 3T 2 . V
CITY: h,rpNE- -C ` V*U.�C STATE: N ZIP:
PHONE: %6 I' 3 L FAX: N`A CELL: Af.Ok
CONTACT NAME: .-1:::)if)-TZ, c1 ( 1.1 k
PHONE: 5-0- (' .. .
FAX: CEL •Ari ./
CONTRACTOR NAME: ' ft'f�C.L, 11U\ CO( Zi . .2N C . _ .
MAILING ADDRESS:
CITY: . V _V\O i`L£_ STATE: ZIP: 9QV -- �j
PHONE: _SS. 99O -CO Te-i S FAX: CELL: WO—UO -K-
CONTRACTOR LICENSE No.: { kw .L(-c(c),3j?\T 1 EXPIRES: 0 l lq CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
<S2W ,/(r., RPO'M 1' C\--1 o r3
****YOU MUST COMPLETE THE FOLLOWING****
MARK N A IF NOT APPLICABLE
Height to Peak: ' Dimen ions: No.of Stories: Total Habita 1
7/ /3 1 X DO / Space: 'a/
Main Floor SQ F1 Upper FloorrSSQ FT: Unfinished Basement SQ Finished Basement SQ
FT: 1J-\ FT: NA
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 300/0 Slopes on
N i FT: ( A Area: N Property: ,I3 ,a
No.of Bedrooms: Construction T •e:%- Heat Source: .;,,.a - ;M•r Se•tic:
TOTAL COST OF PROJECT: $ - dr'% %e' Off/ 7SS 't��
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 -ny violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and s is quentl approved before this application can be processed.
Signature _ /`w. -. Date: lv 0 17
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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JUN 02 2014 0:
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