2012, 09-17 Permit App: BLD-2012-1600 Remodel • ..�elei -1Z- 1bD
Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
((o�, Spokane Valley, WA 9920E
'l i Tel: (509) 688-0036 PERMIT FEE:
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Fax: irnI 688 0037
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION jj ADDITION/REMODEL DACCESSORY BUILDING
0 DECK ❑ OTHER
SITE ADDRESS: 14/22(-/ 3071`' ci.
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: 1 y Wei / r-'
NAME:Tammy and Wes Hixon
ADDRESS:14224 E. r30th Court
CITY: Sf01(Ov7e I/G/icy STATE: WA ZIP: C' 90 3 7
PHONE: 981 - /8 c:ti) FAX: CELL:
CONTACT NAME: Ta.*v.r..y u,Xo
PHONE: / - 981 c7 FAX: CELL:
CONTRACTOR NAME: /30," d Cons�rvc_4-
/30," ,o
MAILING ADDRESS: 45 W. 29th Ave.
CITY: Sic, �G n C STATE: WA ZIP: cr9 2e3
PHONE: 2/-6- ,538y FAX: 53‘ - 8 9S CELL: 2/4 -538'1
CONTRACTOR LICENSE No.: BANDCCI952QL EXPIRES: 3/20/14 CITY BUSINESS LICENSE NO.: BANDCCI9
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
Bathroom and bedroom remodel. Bathroom to become VA approved.
Bathroom and bedroom remodel. Bathroom to become VA approved. /0,.,—n•k1
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: Dirnension : _� No. of Stories: Total Habitable
10 e<. /`� , Space:
Main Floor SQ F Upper FI r 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; $ 35k
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 er ordinances. 6) Plans or additional
information may be require submitted and subsequently approved before this application can be processed.
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1.3C-d -7/7 �.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms- Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc