2012, 01-24 Permit App: BU-12000169 Shedlimmip
Community Development Department (Staff Use Only)
Permit Center
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03 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
SIll �G Spokane Valley, WA 99206SpOkane Tel: (509) 688-0036 PERMIT FEE: STitl Fax 688 0037
permitcenitcenter@spokanevalley.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION n ADDITION/REMODEL ❑■ ACCESSORY BUILDING
LI DECK ❑ OTHER
SITE ADDRESS: 10718 E. Cimmaron Dr.
ASSESSORS PARCEL NO.: 45333.9144 LEGAL DESCRIPTION: 33-25-44 S300FT OF TlibrkT
BUILDING OWNER NAME: William O. Thurman
NAME:William O. Thurman
ADDRESS: 10718 E. Cimmaron Dr.
CITY: Spokane Valley STATE: Wa. ZIP: 99206
PHONE: 509 922 1542 FAX: CELL: 509 939 3615
CONTACT NAME:
William O. Thurman
PHONE: 509 922 1542 FAX: CELL: 509 939 3615 --
CONTRACTOR NAME: William O. Thurman
MAILING ADDRESS: 10718 E. Cimmaron Dr.
CITY: Spokane Valley STATE: Wa• zip: 99206
PHONE: 509 922 1542 FAX: CELL: 509 939 3615
CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
i„..c7C'. Stt e. c.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N A IF NOT APPLICABLE
Height to Peak: / 1 Dimensions:36x48 No. of Stories: 1 Total Habitable 0
Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfini hed Basement SQ Finished Basement SQ
1 728 n/a FT: nia FT:n/a
Garage SQ FT: / Deck/Covered Patio SQ Impervious Surface 30% Slopes on 4
n/a 4314._ nFT: Area: n/a Property:
No. of Bedrooms:n/a Construction Type: Heat Source:Na Sewer or Septic:n/a
TOTAL COST OF PROJECT: $ 10,000
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 required to be submitted and subsequently approved before this application can be processed.
Effective October 28, 2007 Page 1 of 2
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Signature
Date: 1/4/2012
Method of payment: ❑ Cash ❑ Check ❑■ Visa ❑ Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Paae 2 of