2014, 12-16 Permit App BLD-2014-2963 Pole BldgSpokane
lvv��y,
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite
Spokane Valley, WA 99206
Tel: (509) 720-2540
Fax: (509) 688-0037
B-3
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
Project =-
RECEIVED
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION ❑ ADDITION/REMODEL
❑ DECK (Not ❑ OTHER
SITE ADDRESS: a 7 c�7 S . 1. t 1:S n\
ASSESSORS PARCEL NO.: 45'213. 2'7 it
BUILDING OWNER NAME:
ACCESSORY BUILDIN
CSV PERMIT CENTER
LEGAL DESk*70
K2
NAME: Gown1,r1�1C�s
ADDRESS pa �' ' S .l1 iCo l i 1 1 e6 I y�
CITY: ADDRESS�1O lQt. Val STATE: Vv 1 "1
PHONE: 0 - / - C' `J C . O Lf 3 FAX: cLL:
CONTACT NAME: IL--nruNcik a Pot Q i,
PHONE: c(�`+ - L7 I7(n Cj FAx;
CONTRACTOR NAME: SO1 I d SfructAv C-
MAILING ADDRESS: (13-724 1\j p IS [Jul
Cm:
PHONE:
K -l.l laL� STATE:
- -7-7-7L
FAX:
CONTRACTOR LICENSE No.: 5C L i I. SL ?C�EXXPIRES: ()L/ /2Jj1 SCITY BUSINESS LICENSE NO.:
zip: ( Z i
CELL:
CELL:
zIP: 92I -1
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
cgll? x 4-OX I 1p p-�� St��� C� C( ,1
****YOU MUST COMPLETE THE FOLLOWING****
MARK NiA IF NOT APPLICABLE
Height to Peak: ,
��
Dimensions: L!
k T
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement
FT:
Garage SQ FT:
10, `t 0
Deck/Covered Patio SQ
FT:
Impervious Surface
Area: jci) 1w
30% Slopes on
Property:
No. ofBedrooms: �! ti
Construction Type:
Heat Source: 1,1 i ,4
Sewer or Septic: . fit' A ..i
TOTAL COST OF RO]ECT: $ 10 1000
DISCI AJ MER
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 Clty of
Spokane Valley permit is not a permit or approval for y v olation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be� -0-bESnb{nitted and�sequen app •v . -fore this application can be processed.
Signature -
Date:
Updated 1-11-11
Page 1 of 1
http://www.spokSnevalley.org/filestorage/124/938/210/948/1496/Building_Permit= _Residential_11-11-11.dot
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PLANNING DEPT. APPpOVED
BY:
DATE:
12,1/bll
Project #
RECEIVED
ULU 15 2014
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