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2013, 05-10 Permit App BLD-2013-0850 Basement Bathroom
Prciect 1361r/ Spokane Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 perm itcenter©spoka neva l ley. orq (Staff- lrse Only- PERMIT NUMBER: PERMIT FEE: 4-;2�13 r�itlVli I I.LIV I L.r1 SUB # REV. RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION gg ADDITION/REMODEL ❑ DECK ❑ OTHER SITE ADDRESS: 'r + S. • JQl C-; ❑ ACCESSORY BUILDING ASSESSORS PARCEL NO.: zi• 12.4, (-4, LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: gLie 6t. Mth/-L-A ADDRESS: L 1) S. .Lief 'fwOOJ) Dt2.- Cmr: S p e-P•k STATE: ZIP: I ZOb . 5-0 PHONE: 7 S • 762,0 FAX: CELL: CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: 2.2 k.) NC -VA Dr CITY: STATE: ZIP: PHONE: j ? DO��' FAX: CELL: S ?o . Uir`7 CONTRACTOR LICENSE NO.: d-sAApf/ /c >PD EXPIRES: 2• /G' CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: '�'`t-NS,E'r_ vV\ c Y\`C Po` K Q.O19 YN✓` i T J 4.J ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: No. of Stories: Total Habitable Space: Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: Deck/Covered Patio SQ FT: Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ (dgSC3)D 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. /cp. )s EffeCtKk October 28, 2007 Page 1 of 2 P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc 1/f lb 47,gW7f.LA -e" AP FArr- - THIS BUILDING SUBJECT TO -FIELD INSPECTION CORRECTIONS CITY COPY rojec ECFRIFF": KV I 0 2013 csv-FrE73m I 70 r\liT E R • RE./ A)e. (.4...) k..1 Sciolan REVIEWED FOR CODE COMPUANCE SPOKANE VALLEY BUILDING DIVISION - /0-1