HomeMy WebLinkAbout2015, 04-27 Permit App BLD-2015-0926 Shed�. Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
SPdRcrrvoF�T� Spokane Valley, WA 99206
ane Tel: (509) 688-0036 PERMIT FEE:
..;0OValley- Fax: 688-0037
permitcenitcenterCabspokanevalley org
-RESIDENTIAL) CONSTRUCTION PERMIT APPLICATION
NEW CONSTRUCTION ❑ TENANT IMPROVEMENT ❑ OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO.: VS -1 %/.Q,�/AEGAL DESCRIPTION•
BUILDING OWNER NAME: (5LC AvE. /1-6 4/
MAILING ADDRESS: IHY C a K'tNz V,4//,c
,A //PL-- CITY: ' ',D n C AeU fr ij // STATE W J ZIP V '99
CONTACT PERSON NAME:
PHONE: S-05— x'92- 9sy8' FUUAXTT11 CELL
CONTRACTOR NAME: 1Z,1 /i? f _ ��-�� Y,. C4 J-(4 rf S
MAILING ADDRESS: / aC� x
CITY:
STATE:
PHONE:
CONTRACTOR LICENSE NO.: !`%2,4n'1SS W914CJ;FXPIRES: V—
ARCHITECT/COMPANY NAME:
MAILING ADDRESS: 2 91
ZIP:
A f CELL:
CITY BUSINESS LICENSE NO.:
CITY:/�y KA-�f STATE: `A, 4- ZIP 4
PHONE: ' — C q — 6 181v FAX: CELL:
NAME OF OCCUPANT OF STRUCTURE:
�� Cc �v 6�j Project
PHONE: �(� 9 _ V / 2 9S % p
FAX• CELL
CONTACT PERSON NAME y. �/ f Q h EJ
PHONE: FAR: I CELL:
DESCRIBE THE SCOPE OF WORK IN DETAILCSV P
I
_TYPE OF PROJECT: SD X11/011/0X � 5/ ' TOTAL BUILDIN SUB #
HEAT SOURCE. FIRE SPRINKLERS �S
PRIMARY OCCUPANCY. p A c /� SQ FOOTAGE: p p
SECONDARY OCCUPANCY: SQ FOOTAGE:
Z
REV.
TOTAL COST OF PROJECT: $S,S yf ' `-�
DISCLAIIvir;x
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 fir a wi e i Spokane Valley Development code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) The C' pokane Valley permit is nota it or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or
additional information may be re to bg submitted and d before this application can be processed.
Signature
Date: Y -22 -
Doc
-22 -
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