2013, 07-16 Permit App BLD-2013-1370 Pole BldgSpokane
a0Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterCcasooka neva Iley. oro
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
,=•± NEW CONSTRUCTION
DECK
SITE ADDRESS: t l f
ASSESSORS PARCEL NO.:
El ADDITION/REMODEL E] ACCESSORY BUILDING
Q.OTHER
LEGAL DESCRIPTION:
BUILDING OWNER NAME: 04&\iz
NAME:
CITY:
PHONE:
V c u r,�L n/J
ADDRESS: / 14Q 'C j`%�p/c7p�
CITY:
PHONE:
FAX:
STATE:
CELL:
ZIP: C, C-1 'Z ex,".
CONTACT NA/ME: C C
PHONE: Ip Z -- - 1 Z,
CONTRACTOR NAME:
FAX:
C`7 ,
CELL:
MAILING ADDRESS: /. 2— .-; 5 ; ON'Z' z
c5-600
CONTRACTOR LICENSE No.:
FAX:
STATE:
qy z B
EXPIRES:
CELL:
CITY BUSINESS LICENSE NO.:'
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: `Z—L
Dimensions:
D %e10
No. of Stories:
i
Total Habitable
Space: e'
Main Floor SQ FT: 1f
/ Y P'
Upper Floor SQ FT:I
/�(,"
Unfinished Basement SQ
FT:
Finished Basement SQ
FT: ,414/1--
Garage SQ FT:
i / f
Deck/Covered Patio Q
FT: ,, I
Impervious Surface
Area:
30% Slopes on
Property: Al /k
No. of Bedrooms:
Construction Type:'
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $
� yh•
600
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.
Signature
Date:
Updated 1-11-11 Page 1 of 1
http://www.spoka neva Iley.org/filestorage/124/938/210/948/1496/Building_Perm it_-_Residential_11-11-11.doc
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