2013, 08-27 Permit App BLD-2013-1713 Basement RemodelSpokane
.000Valley
Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue, Suite 8-3 PERMIT NUMBER:
Spokane Valley, WA 99206
Tel: (509) 688-0036 PERMIT FEE:
Fax: (509) 688-0037
permitcenter(asookaneva Ilev.oro
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
E. NEW CONSTRUCTION DDITION EMODEA ACCESSORY LDING (-? (3
C DECK . OTHER — (�
SITE ADDRESS: i 44 13 S. Py.e r
ASSESSORS PARCEL NO.: ,,11, ,, LEGAL DESCRIPTION:
BUILDING OWNER NA E: Q',,v� `�,"
NAME:
ADDRESS: / //3 S. Jlrr/
o 4&o i U
3709 3F5--
CITY: cj
PHONE:
CONTACT NAME:
FAX:
STATE:r, ZIP:
CELL: S-69
PHONE:
FAX: CELL:
CONTRACTOR NAME:
CITY:
PHONE:
f}� /- C�QSTATE:(V
57) 9 3 �5 _Q (� 6 ' FAX: OV V 37( 1C% 2 0
CONTRACTOR LICENSE NO.: C_ O.0 n Eo Ca16FXPIRES: CITY BUSINESS LICENSE NO.:
CELL:
ZIP: %,,'„e`,
D(€ C RIE�HECOPE O WN�I DETAIL INDIqATIE USE &PROSEDUSE;
r11 (
es$ocy eun) h•�
****YOU MUST COMPLETE THE FOLLOWING****
MARK NLA_IF N07 APPLICABLE
Height to Peak: „ezDimensions:
No. of Stories: A
/
Total Habitable
Space:
Main Floor SQ
) 0 ��
Upper Floor S9
I
Unfinished Basement SQ
FT: —70 0 :--
Finished Bas me t SQ
FT: I LA
Garage SQ FT: /
( -( (�
Deck/Covered Patio SQ
FT: 2 q Q
/
Impervious Surf a
Area: 111
30% Slopes on
Property:
No. of Bedrooms: <
Construlction Type:
Heat Source:
Sewer or Septic: 5 4Qt(
TOTAL COST OF PROJECT: $
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 a•proval for any violation of federal, state or local laws, codes or ordinances. 6) Plan or additional
Information may be regyired to be submld d subsequently approved before this application can be processed. 1 I
Signature
Date:
I
Z/
/3
Updated 1-11-11 Page 1 of 1
http://www.spoka neva) ley.org/filestorage/124/938/210/948/1496/Build i ng_Permit_-_Residentiai_11-11-11.doc
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