2015, 03-31 Permit App BLD-2015-0696 Duplex, Garages, PatiosPermit Center
►SliorkC1t�' a 11707 E Sprague Ave, Suite 106
fr Valley
[ Tll- Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org.com
Residential Construction
Permit Application
Z1U
La New Construction
o Addition/Remodel
❑ Other:
o Accessory Bldg
❑ Deck
SITE ADDRESS ) U 117
ASSESSORS PARCEL NO: '/ 2c> l 6 G. 5-2 LEGAL DESCRIPTION: S e r P/al 5 H P -0 6 -01 Lot Z
Name: p; ja0 G 1 COAs
Address:
City:
Zip:
Phone: 9Z c - gq cO K Fax:
o
Name:
f
Phone:
Describe the scope of work in detail:
d c reU S fz
Ilt=1' yF ' 0' y ;mot?"1'
triki
Name: Dia4 ".?) Z.--ck Cem-rt
.
Address: 2-66 2
Al, Et,l1iIJ-4ft
n
!mod
City:
- Zip:
Phone: q lit-yy 6tf
Fax:
Lic No:
-Exp. Date:
City Business Lic No:
Cost of Project:
$ I 25,600
'k*************The following MUST be complete: (write N**********************
HEIGHT TO PEAK:
-2c!q'6"
DIMENSIONS:
x 54f/
# OF STORIES:
-
TOTAL HABITABLE SPACE:
l qlb
MAIN FLOOR TO SQ.
=TG: /' I' a0
2Nu FLOOR SQ. FTG:
755
UNFIN BASEMENT SQ. FTG:
0
IMPERVIOUS SURFACE
AREA:
=INISHED BASEMENT
3Q. FTG: O
GARAGE .Q. FTG:
T ��•
DECK/COV. PATIO SQ. FTG:
- /6O
30% SLOPES ON
/i-
PROPERTY: %t11
OF BEDROOMS: L
CONSTRUCTION TYPE:
wood i�ze.He-
HEAT SOURCE:
nlafI-r4I Gas reAr'yta, -
SEWER OR SEPTIC?
5-ei,.ke-r
vcci einna
The permitee verifies, acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
Iwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
oignatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
;pokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
)cal laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
his application can be processed.
;ignature
4ethod of Payment: (Faxed permit applications will
] Cash ❑ Check .
lankcard #:
,uthorized Signature:
EVISED 8252005
.„�-��15 p&c gate
only be accepted with major bankcard) �)
.❑ Mastercard ❑ VISA
Expires: ,pAR 3 1 2015 VIN#:
D. Other
CSV PERMIT CENTER
SUB#REV. #(