Loading...
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