2012, 07-02 Permit App: BLD-2012-0895 Remodel •
_ CZJ-CtS—
Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue,Suite B-3 PERMIT NUMBER:
CITY OFSpokane Valley, WA 99206
11f.�ii� Tel: (509)688-0036 PERMIT FEE:
Valley Fax: itcen 688-0037
permitcenterPspokanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION Q ADDITION/REMODEL 0 ACCESSORY BUILDING
0 DECK 0 OTHER
SITE ADDRESS: 13108 E. 36th Ave
ASSESSORS PARCEL NO.: 'S L j , `a a LEGAL DESCRIPTION:
BUILDING OWNER NAME: Mathias J and Leigh M. Charles
NAME: Mathias J and Leigh M. Charles
ADDRESS: 13108 E. 36th Ave
CITY: Spokane Valley STATE: WA Zip: 99206
PHONE: FAx: CELL: 509-981-3686
CONTACT NAME: Mathias J and Leigh M. Charles
PHONE: FAX: cni: 509-981-3686
CONTRACTOR NAME: Mathias J and Leigh M. Charles
MAILING ADDRESS: 13108 E. 36th Ave
CITY: Spokane Valley STATE: WA Zip: 99206
PHONE: FAX: CELL: 509-981-3686
CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Constructing a new patio cover,removing an existing 6ft sliding glass door and installing a bay window and cabinet in the opening
Constructing a new patio cover,removing an existing 6ft sliding glass door and installing a bay window and cabinet in the opening
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:,1 ,) Dimensions:21 x11 No.of Stories: 1.11811 Total Habitable n/a
Space:
Main Floor SQ FT:n/a Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
FT: n/a FT:n/a
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
n/a, 21FT: Area: n/a Pro erty: n/a
No.of Bedrooms:Na Construction Type: Heat Source:Na ewer r Septic:Na
TOTAL COST OF PROSECT: $ 2000.00 ':.,
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 reg fired to be submitted and su.=-quently approved before this application can be processed.
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P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc