2014, 08-04 Permit App: BLD-2014-1863 Pole BldgSpokane
Val ley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
Dermitcenter sookanevaIlev.orq
Prosect (start s V y6
MB
PERMIT NUER: -l�U
PERMIT X96 0 4 2014
CSV PERMIT CENTER
RESIDENTIAL CONSTRUCTION PERMIT
❑ NEW CONSTRUCTION
DECK
SITE ADDRESS:
El ADDITION/REMODEL
❑ OTHER
CCESSORY BUILDING
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
72-
ADDRESS: /) 3„,„,
CITY: '��Qi%7-� c/£ 4 ///-2 STATE:
PHONE: SCJ - (�' / 6 /7/ FAX:
CONTACT NAME: /1143-b_55- �{Q
PHONE: - (� ")77 FAX CELL:
CONTRACTOR NAME: (2/.2 :(/ C c'( -'✓�
- r C -
CELL:
ZIP:
MAILING ADDRESS: Z4/16 f /%
CITY: L/ C�. /Ae
c-40 ?- WC7 117777
PHONE:
STATE:
CONTRACTOR LICENSE NO.:
FAX:
CELL:
ZIP: 7-20 .3 7
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE 8a PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
14-7-
Height to Peak: /4/ (
Dimensiu/' \(ZU
!
No. of Stories: /
Total Space: abitabl,/
Upper Flo�loL! ,_'tl� :
Unfinished ent SQ
FT:
Finished Base/fie\�j SQ
FT: 7�
Main Floor SQ FT
)
/
Garage SQ FT:
Deck/Covered Patio SQ
FT:
Impervious Surface
30% Slopes
Property:
jai)Area:
j%
No. of Bedrooms:
(")
Construction TypeV - / 4 (
Heat Source:
Sewer or Septic:/
TOTAL COST OF PROJECT: $
/
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. eferenced codes are avail ble for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley pe Is not rmit or aprow r any vlolatl n of federal, st- - or local laws, codes or ordinances. 6) Plans or additional
Information may b J t mlttyji ay(6s� ise g4 ntJiy a proved bef.r +is application can be processed.
Date: / Z -a
Signature
Updated 1-11-11
C:\Users\bryan.happeny\Desktop\BLD APPS\BLD-RES.doc
Page 1 of 1