2013, 06-25 Permit App: BLD-2013-1212 Residence Project 41 (3 13 Ld .-- k3- IZI i
E.,.<5 I/
cm'cr [[d �e,� Permit Center ? �� !tED F Z
Spokane 11707 E Sprague Ave,Suite 106 ,,n�4rl k .q�r et r 6
, ''�alle ( okane Valle WA 99206 FD 1 I LL
J (509)688-0036 FAX:�509)688-0037
Community Development www.spokanevalley.oriz.com o s v F , - c J:TER
Residential Construction
l _� ._. : ':Eonctr>tti ;
._ th Accessory Bldg
Permit Application D Addition/Remodel ❑ Deck
❑ Other:
. . .... ...... ... ..... .. . . . .
SITE ADDRESS 1 O 71�I 1 .ar7 f'' L r
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: 2c>i d ern ca cast St Go#- 7 Q)k 1
[€ c - ��q � z _ i ,f. L ^--r T--.,-s-�=--r; x , pp ,.77:727-7--, tr- s, --7c St_
.4BI dim qy r@inp l 0Py-: , '"` , *_, Li,C,!, 0 o C f s a a ,,-s4ts .
Name: ►:rn rvbvvol ° •G Name: fir^ .;l eo t Coy', f
Address: Address: 6 0 Z . Su I f% a A led
Ci : Zip: City: 5 .. k_As a f le Zip: 7' z1 b
Phone: Fax: Phone: el t• - ; 6 Fax: 926,- Ira 9 2
• Lic No: -Exp.Date:
" City Business Lic No:
Name: , I
Phone: 21 ;— •
Describe the scope of work in detail: Cost of Project: $ 75,000
r-- u1a a vA¢w SF(_
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: + DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
ZI SSA-44'6' t 3944
MAIN FLOOR TO SQ. 2Nu FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG:
17
33 •_
1233
733 AREA:
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON
SQ. FTG: — 7 Z i l l` PROPERTY: _
#OF BEDROOMS: 3 CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
wood c N atlxisCA (as +act Ser•
DISCLAIMER
The permitee verifies,acknowledges and agrees by their signature that 1) If this permit is for construction of 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) This 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 subsequently approved before
this application processed.
Signature ro Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash ❑ Check •❑ Mastercard ❑ VISA ❑ Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 825/2005 •
Sc41e YLI"..: 5'
Safi 61K 1
?prat erop t s-i-
3,12-1
Q -r
_«
3q be,. Project -� kol --_/Z 1 Z
/,s ffff �Q•«J'EE E
i Y
ismti
its 2 3A'
t
1\.„Z
,CSV P 1� CEN
5t 1 CSV PL,_yi`,
, , i SUB -: i i 7' : 1,:
1
a.
\044° l
1751,
5
°"Fzoe-� PLANNING DEPT. APPROVED
:_iiiitaZtrazka426—
, _ _ _ DATE: 6/ e/Zo,3
to` vfiLill
Es$4t
6'51