2013, 03-04 Permit App BLD-2013-0335 RoofingResidcnti•M Construction Permit Application.pdf
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Spokane
,r'"0VaIley
Ccmmuniky Development Departm t
Permit Center
11703 East Sprague Avenue, Suite 3-3
Spokane_. Valley, WA 992'08
Tel: (500) 688-0036
Fax: (50Q) 688-0037
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(Staff Use Only)
PERMIT NUN/Nit-A:
_.._.,
PERM,T,T FriF:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
tt ADDITION/REMODEL I'i.' ACCESSORY BUILDING
OTHER
El NEW CONSTRUCTION
0 DECK
SITE ADDRESS: 22OFj N • .1QYo�. '(-c Spo\L0-U`-Q. W\ G ZU(mo.____.
ASSESSORS PARCEL NO.: 1-\5\ z , ()>31 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NSF: 1r\S C.c -e.r
Au0RESS: U-D lv :_ 1U C� 2-6 _........
STATE: _ZIP:_
p io'E: c`i l%- 5341 FAx: Cn„I•.:
CONTACT NAME:
PHONE: FAX :
CELL:
CONTRACTOR NAME: 6Jkc_\)C 1' ?V Aju,/
MAILING ADDRESS: 117_1r ‘\A_QY A- ( )4 AJD-1\.Ir
CITY: SpUY4LVJ. STATE: U.ACk ZIP: t 2OL0
PHONE: R? , - j Q Q6l.1) FAX: 3 2C6 - 757 (2 CELL:
GONTRACTORLICENSE No.: 5,v,AN.k ,(„5U.l... V xP:tRES: C:fTY BuSYNESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
...._Sc;_5.0 ec....- 2_i Z it ....,.L?..1...1..-Z•--p.r .c h........_
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
r
No. of Stories:
"~
Total Habitable
SAC e:
M;iin Floor SQ FT:
Upper Floor SQ FT;
Unfinished i3asernMI: SQ
FT: --
Finished Basement SQ
FT:
Gargle; SQ FT:
-�
Deck/Covered Patio SQ
FT: _
Impervious Surface
,Area: .--
30% Slopes on
Property: —
No. of Bedrooms:
C:onstr action Type:
Heat Source:
Sewer or Septic: .. ,
TOTAL COST OF PROJECT: $ 2 1 L.19 b • 50
r7TSc:I,AtmER
The permitted verifies, acknowledges and ngreos by heir sans Dire that: 1) If d1ls permit Is for corwruction Or On A the dwelling isiis l
Ix served by potoblc orator, 2) 0wnershln of this Clty of Spokane Valley permit MUM. to Inc property owner. 3) The sigratcry is the property.
owner oft has perrnissIon to represent rfiP property owner In this transaction, 4) AI construcuon is to be done, in fill campliaricc will' 11r• C1trr :1
St?OI:7r /allay Development code. P.eferenced code;, art; Ovallable for revlAw At the City of Spokane Valley Percent Ccntrr. bi rho: Cit lr;
sookanc Valioy pcnnll Is riot ,,i CFrmIr r,r approval for any violation of federal, state or local laws, coda; or oriiloonaf:s. 6) Flans. ,,r ,n1d liiri.G
Informa bon moy be r•cgi Ilreq to be ciihmltted sad subsequently approved before lfils appliCOCIOn bo processc0,
Effective October 2E3, 2007 P:..ic I !( :'
P:\Community Development\02 AdmInlstratIon\03 Forms - Official V rsions\Permit Center\Resldcnt:I. I Con: trrartlrur I:,•rini
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