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2005, 05-17 Permit App: 05001599 Pole BuildingProject Number: 05001599 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 05/17/2005 Page 1 of 2 Project Information: Permit Use: 16 X 20 POLE BUILDING Setbacks: Front 100 Left: 6 Right: 40+ Rear: 20+ Site Information: Plat Key: 999999 Name: RANGE Contact: SPOKANE STRUCTURES Address: 510 N MULLAN ST C - S - Z: SPOKANE, WA 99206 Phone: (509) 927-0655 Group Name: Project Name: District: Sout Parcel Number: 45214.9135 Block: SiteAddress: 1523 S BOWDISH RD Location:: CSV Zoning: AGRI Water District: Area: .00 Acres Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 --Review Information: Lot: Owner: Name: HURLIMAN, JOHN & DARLENE Address: 11015 E 43RD AVE SPOKANE VALLEY, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Site Plan Review ke44PLytiltet- Plan Review Permits: Released By: Released By: Operator: K_C Printed By: K_C Print Date: 05/17/2005 Project Number: 05001599 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 05/17/2005 Page 2 of 2 Building Permit Contractor: SPOKANE STRUCTURES INC Firm: SPOKANE STRUCTURES INC Address: 510 N MULLAN RD Phone: (509) 927-0655 SPOKANE, WA 99206 Building Characteristics Group: U-1 Type: VB Total Area 320 Building Height 11 Stories 1 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VB 320 $6,080.00 320 $6,080.00 Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE Notes: Payment Summary: Permit Type Building Permit Totals: 320 $6,080.00 320 $6,080.00 Units Unit Desc Fee Amount 1 SELECT $139.25 1 SELECT $4.50 Permit Total Fees: $143.75 Fee Amount Invoice Amount Amount Paid Amount Owing $143.75 $143.75 $0.00 $143.75 $143.75 $143.75 $0.00 $143.75 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: K_C Printed By: K_C Print Date: 05/17/2005 MAY 13 2005 13:59 FR SPOKANE STRUCTURES 5099274062 TO 6880037 P.01/02 BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707E Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION K5"-5 / // Street Address: - - _ C'. i3C)� cLLS'1 7 5/06 " v� 66-7_4/4_____ Assessors Tax Parcel Number(s): Legal Description: / Po5-/ fry �lc . ❑ Change In Use ❑ Grading 0 Manufactured Home ❑ Tenant Improvement ❑ Fire Safety ❑ Other ar PERMIT DESCRIPTION: wilding Permit 0 Relocation OWNER/APPLICANT INFORMATION 1 tYlr Owner. To( F Dorirn r// &- Phone: q -q- 732? Fax: Address: /S2g S lbw -'4 - t101 S . Lf 3 i2mk <gpte re L4 Lift 6i366, ty State Zip Code Fax: ar Contractor. Phone: Address: City State Applicant: S/a u 5172.4c rZ Phone: 9 97-06SY Fax: 9-9? -Yo4 2 Address: 3-70 Al/ !amu (lc , id 6 -fit, /Ca -k, L4 Lt e & L j,4 9 9 2v Co City Amite Tp Code Architect: Phone: Fax: Address: Zp Code City ' WA State Contractor License #: ,Oo /SGS 11 2644. Contact: Spokane Valley Bus. Liscense #: 00 a 9'7 Contact: State /� ewrl Zip Code PERMITIBUILDING INFORMATION HEIGHT TO PEAK „ DIMENSIONS: X # OF STORIES: MAIN FLOOles? TO SQ. FTG: 2 FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? f,..\t( • ARC 1,KP •Deek L-,144-1 faamosap3 R6-1,c7cL4 SOME WAD FROM Fueacesc21.. commens mvievivo I ! ! wedding a wilding NI Ma Plenn_ste beinapgritled for tne P 'Pose of linevernensio.natepollsonkNon of M. proilosal: All knowna .. .nd is a true an crocn)rprertcyt Signed' bodies ot- have been identified. /4iscy maipateit are cwa talano' . , . steep slope . curb lines structuras ant/ e'eRi-nts Daft: MAY 13 2005 13:59 FR SPOKANE STRUCTURES L200899 01 Z901712660S