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2013, 04-26 Permit App BLD-2013-0729 Deckcrn c� s"- ne ��Valleyy • Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenterOsookaneva Iley.orq PrArt # g(d-13 - !z9 RECF!VFn (Staff�/Use Only) PERMIT NUMSER: 2 6 2013 PERMECi r� -,,IT CENTER SUB -= �� REV, RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION ❑OTHER RUCTION ❑ ADDITION/REMODEL ❑ACCESSORY BUILDING �I ADEC SITE "ADDRESS: ) 3 - ; ,1 t1. h s r }. >p r. - A? ;2. Le-)5ie,(iC 1i)/9. ASSESSORS PARCEL NO.: LEGAL DESCRIPAON: BUILDING OWNER NAME: r;, . rj ADDRESS: / / :) % . JCtf. l\ stl NAME: CITY: 5/t Kcz 4 t V r1 )/ e'X �9-0 91 .Pi "3 Ce_74, L `z_. PHONE: CONTACT NAME: PHONE: CONTRACTOR NAME: FAX: C i1' ve. 6P STATE: (-4)4 / ZIP: / / 2 06 Fax: CELL: CELL: ,5-0 " Y oZ -6 2.6' MAILING ADDRESS: PO Oox CITY: CA: c (7) iic-1\ ci !' `> STATE: IA /t- G ZIP: / fL� O r/ PHONE: S C) / Cf.3 a 1,.c-C1 FAX: c-C! oZ f / ( CELL: 5 6 9 3-7 A rri'! 4i / CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: f`t r e Qr .4 !` w/) i « c 4 t '' Y 8 ' r,V % ICA r S '4.5 ****YOU MUST COMPLETE THE FOLLOWING**** Height to Peak: / Dimensions: 6 x s No. of Stories: 4 , Total Habitable 1 + Space: Jy Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: A iv Deck/Covered P t'oQ FT: T Impervious Surface Area:No. 30% Slopes on of Bedrooms: Construction Type:ll Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $ / 5 U © , DISCLAIMER The perrnitted 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 o approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional informat' ay be requjred'tq tsu i ed and subsequently approved before this application can be processed. • Effective October 28 �/-��-- ,20L 3 Page 1 of 2 P:\Community Devolopment\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit App 10.28.07.doc Dura-Side PO Box 218 Otis Orchards, WA 99027 PLANNING DEPT. APPROVED