2013, 03-18 Permit App: BLD-2013-0444 Pole Bldgcm t>t
Spokane
Walley.
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevalley.org
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PERMIT NUMBER:
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RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION 0 ADDITION/REMODEL
0 DECK 0 OTHER
SITE ADDRESS: cm o % F. F10LHAAI RP•
0 ACCESSORY BUILDING
ASSESSORS PARCEL NO.: 44052.056 3 LEGAL DESCRIPTION:1-n- 3 BUG 1 )0 NNS7oNe ii4DA.
BUILDING OWNER NAME: 1:>004.- LAa&EY PoMPE¢oSA
ACRES
NAME:
Dov- L_IBSEV
ADDRESS:
?got? E . UOLtf4N 2b
Cm: SPofrA.JE U*Lt Ey
PHONE: I-4 f3 —23 0 — 72 rq FAx:
CONTACT NAME: ST.444.1 row MD.
STATE: tots/4
zip: ?twee
CELL:
PHONE: a30 — fosgf FAX:.
CELL:
CONTRACTOR NAME: ALL VTATt$ CooSTQuC.T1on/
MAILING ADDRESS: .'IDL S. Dou uts CT
Cm: Posy F,4 -t -S/�
PHONE: SDI"' AIN ""9 777
CONTRACTOR LICENSE No.: ,QI•(..STL C9O1 DO
STATE: Sri„, ZIP: Ip 38 St/
FAx: 50q- Sql - 72YZ CELL: cpm- 52/3
EXPIRES: 4113 CITY BUSINESS LICENSE NO.: 000-5`42.-36
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
CoIUSTrtvrr 4 N2 x 5o Pate SUILD1M6- WLT44 Lefty/ To
115E : S -A -0.4 4-e A -ND Swop
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: la.• . Y pr
Dimensions: N2K 5'0
No. of Stories: /
Total Habitable0
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ f'T:
IItDo /1/a1OD
Deck/Covered Patio SQ
FT: $
Impervious Surface
Area: e(
30% Slopes on
Pro�rty: NO
No. of B rooms:
Construction Type:
Heat Source:
Sewer r Septic:
j
TOTAL COST OF PROJECT: $ 321 SGD. 00 "S ca Co ea
sreuC7ro4
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.
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Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
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HOLMAN! RP.
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ALL STATES CONSTRUCTION
2724 S. Hayford Rd., Suite 1
Airway Heights, VVA. 99001
Phone: (509) 244-8777
Fax: (509)244-8778
www.allstatesconstruction.net