2013, 01-24 Permit App BLD-2013-0101 PorchSpokane
jValley'?1
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Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@sookanevalley.orcl
P,jigect # �� �C� r 3 tO
(staff U5,4
PERMIT NUM �BR[I
PERMIT FEE: H��
(IQ\/ DGD
SUB #=
REV. # =
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
NEW qONSTRUCTION Q ADDITION/ REMODEL ACCESSORY BUILDING
DECK /11'301 Q OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO.: 65170,a3oLl LEGAL DESCRIPTION:
BUILDING OWNER NAME:�OC
NAME:'
ADDRESS: lsaorp �. '5PAY+? [/;—
CITY:) ✓ STATE: ZIP:��
PHONE:y // FAX: 7`!� CELL:
CONTACT NAME: AV— _ /U .i h%t
PHONE: �� j C�C%�-b� FAX:7� �� / CELL:
CONTRACTOR NAME:
MAILING ADDRESS: Wel
CITY:-- STATE: `�� zIP:-
PHONE: "' FAX: CELL: '—
CONTRACTOR LICENSE No.: 1,' W68 '0.?3Pe EXPIRES: � �� CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
uAF'OA;-71461 27X Y 6-oLJZ �-
****YOU MUST COMPLETE THE FOLLOWING****
MARK N /A TF NAT APPI Tram F
Height to Peak: /
Dime sions,No.
<3iSpace:
of Stories:
Total Habitable
Main Floor SQ FT:
Upper Floor S T:
Unfinished B Bement SQ
FT:
Finished Baseingnt SQ
FT: v
Garage SQ F :
Deck/Covered Patio SQ
FT:�
Impervious Surface
Area: 11,
Ir
300/a Slopes on
Property: N %
No. of B drooms: �O
Construction Type:
Heat Source: --
Sewer or Septic:/S
TOTAL COST OF PROJECT: $ o
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 perruksion to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley ment code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit t a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be r"ire t submitted and subsequently approved before this application can be processed.
Sicu;ature
Date: /
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit_-_Residential_11-11-1l.doc
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PROFESSIONAL LAND SURVEYORS
519 N. MADEUA STREET
SPOKANE, WASHINGTON 99202
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LINE
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LENGTH
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PHONE 509.925.2821 FAX 509.926.2735b D P SCALE I = 3O
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DATE: