2015, 06-09 Permit App: BLD-2015-1343 Pole BuildingCommunity Development DepartmentFPERMIT
ff Use Only)
Permit Center
crry of 11703 East Sprague Avenue, Suite B-3 MBER:
Spokane Valley, WA 99206
�e Tel: (509)•720-2540 :
Valley Fax: 688-0037
'permitcenitcenter@sgokanevallev.org
RESIDENTIAL CONSTRUCTION PERMIT AWLICATION
NEW CONSTRUCTION [] ADDITION/REMODEL ACCESSORY BUILDING
Q DECK Q OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO.: pp LEGAL DESCRIPTION:
BUILDING OWNER NAME: 8 rbtLA-n
NAME: jZC'L"Okq iO�vt►^
ADDRESS: 9 a I 4z. Lb' f es S
CITY:SPOKrA1NE VALLEY STATE:WA ZIP:
CJ oZ I
PHONE: G 3 - S 8 S O FAX: CELL:
CONTACT NAME:LARRY ANDERSON / DAVE BEAUDOIN
PHONE: 509-922-4384 FAx:509-924-4096 CELL:
CONTRACTOR NAME: C ti e
MAILING ADDRESS:'
CITY:SPOKANE VALLEY `�` STATE:WA ZIP:99i
PHONE:509: I / FAX:t CELL:
CONTRACTOR LICENSE NO.v EXPIRES: CITY BUSINESS LICENSE
NO.
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
INSTALL NEW POLE BUILDING STORAGE BUILDING
****YOU MUST COMPLETE THE FOLLOWING****
MARK N /A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:l
Total Habitable Space:0
Main Floor SQ FT:
Upper Floor SQ FT:N/A
Unfinished Basement SQ
FT: N/A
Finished Basement SQ
FT: N/A
Garage SQ FT:N/A
Deck/Covered Patio SQ
FT: N/A
Impervious Surface
Area: N/A
30% Slopes on
Property: NONE
No. of Bedrooms:0
Construction e:POLE
Heat Source:N/A
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 Develo ent code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permi is of a �ermit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be re uire to a submitted and approved before this application can be processed. ,
Updated 1-11-
Date: 6
http: //www. s poka neva I ley. org/fi lestorage/ 124/938/210/948/ 1496/2743/Res_Perm it. doc
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