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2014, 07-11 Permit App BLD-2014-1643 DeckNAME: Spokane Valley - Community Development Department Permit Center 11703 East Sprague Avenik, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 720-2540 Fax: (509) 688-0037 permitcenter©sookanevalley.orci (Staff Use Only) PERMIT NUMBER: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ..ACCESSORY BUILDING X DECK ❑ OTHER "Project �� 2CE1VED SITE ADDRESS: /Ga.x /✓ / %j/(/ ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME:,&ff 2fr9n7e'� 4LAl 7/4 ff6e 1ff4A/ ADDRESS: I gc:), N. 7 m CITy:/ jJ ,-e t/ /�' PHONE: 5Q / - / lD ! 1IS i CONTACT NAME: FAX: STATE: CELL: JUL I i L014 CSV PERMIT CENTER PHONE: Fax: CELL: CONTRACTOR NAME: 6ee,,,o, C.,ti bec f/G MAILING ADDRESS: 42339 112, `'(,%S ,' -ve CITY: /74V -i cle r PHONE: a -69i-y341s5- CONTRACTOR LICENSE No.:CV&U, (b4 ):-;_T FAX: STATE:, F CELL: ZIP: 9335� EXPIRES: '�/il CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE�7& PR • POSED USE: �/y�r�.' �D1�P?//:�/J, �iec7 ✓� PROPOSED ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE w Height to Peak: Dimensions: No. of Stories: Total Habitable j�- 1 Space: FT:• Main Floor SQ PyA / Upper Floor SQ FT: �(r Unfinished Basement SQ FT: pl l i Finished Base�ent SQ j FT: Base / it Garage SQ FT: Alir Deck/Covered Patio SQ FT. C0 Impervious Surface Area: 111/ 30% Slopes on Property: fje No. of Bedrooms:: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $�� ff ."7":� DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted and subsequently approved before this application can be processed. Date: 7 --10 4/ Updated 1-11-11 C:\Users\Matt\AppData\Local\Temp\Res_Permit-l.doc Page 1 of 1 PLANNING DEPT. APPROVED z q.2 -Z c�,e(3iu �d Grp«��e5 BY: DATE: --Z/ / //zo15� 2312-3$ sa F� �':iVf'fiHV11TCEN7'II;