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2014, 08-12 Permit App BLD-2014-1930 AFH InspectionW*lane alley Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 720-2540 Fax: (509) 688-0037 c ermitcenterPsookanevallev.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: RESIDENTIAL CONSTRUCTION PERMIT APPLICATION El NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ DECK 4,1 OTHER SITE ADDRESS: q go g 6 • q` ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: ❑ ACCESSORY BUILDING PrniA�t 'ECEIVED ----__.... ..�....�...�. '• NAME: 30 U J A1 2 Y014 ADDRESS: GSp, £1 q•1W CSV PERMIT CENTER CITY: ' `-' O o& \ J& Qj STATE: O f O S U B # r. � iZip: �bfo PHONE: ©0-' 2,D2, 241 — FAX: CELL: CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: CITY: STATE: Zip: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: 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 Height to Peak: Dimensions: No. of Stories: Total Habitable Space: Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: Deck/Covered Patio SQ FT: Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: 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 approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be sub n tted and subsequently approved before this application can be processed. Signature Date: in I Zlkt_ Updated 1-11-11 C:\Users\bryan.happeny\Desktop\BLD APPS\BLD-RES.doc Page 1 of 1 g S ( / • -II / i rs r0r= sss, J -•., , I : irs- (III)/ I 1-1---1--1---/-------- ---p-4-- -, , ,,...., , I s t r 63 \ 9„,r,123 yrs/ isr:„III\ 1 kJ' 1. rer s s ; s ‘,4 '31 L I ,r). il W..4--Agr sirr— ) I / rrri,,XV s — , Irrrss..0 X 0 G a 6 Qo c 0 0 0 0 0 Cr 0 .............................m. mi. MOM MMEMMEMME MIMPRODAR9 'AI IMINMEMMEMEMEMMEMMEMMEMONMWWWM-E BM AEl 1 pr 111M11111111111.111611111M Ale 201 molletimiimilmimmi pan 1 0 -o 0 0 Z 0 ma. 0 T.• Z Z 0 0