2016, 03-14 Permit App: BLD-2016-0790 Residence Community Development DepartmentC)Yn`r QrSd
(Sta •¢ iti j,00 w
Permit Center
11703 East Sprague Avenue,Suite B-3 I PERMIT NUMBER:
Spokane Valley, WA 99206 I
SpoCITY ofkane Tel: (509) 720-2540 PERMIT FEE: -4'F
Valley (
Fax (509) 688-0037 .
Fax:5 enterC�soc:anevallev.arq
:SV PERMIT CENTER
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION ,
71 NEW CONSTRUCTION E ADDITION/REMODEL igi. ACCESSORY BUILDING
❑ DECK C'j OTHER /
SITE ADDRESS: iq 1°- S S . l),(—H!RYL- CLQ(, R SPO 4AJG ,V4,(Ey WA .61c1037
ASSESSORS PARCEL NO.: --,5,0,5a )/405 LEGAL DESCRIPTION:
BUILDING OWNER NAME: AN-TH Q(Jy N'LA YIE;1i
NAME: A/v-rr-1ni'\.y _N./(4-//A. 1 1 fV
ADDRESS: ICI I 0 S , CYN YL (- )U./ZT
CITY:SPOKANE VALLEY STATE:WA ZIP: /I0,,_7
PHONE: /5509) 0-_,)---7 qOL() FAX: CELL:
CONTACT NAME:LARRY ANDERSON/DAVE BEAUDOIN
PHONE:509-922-4384 FAX:509-924-4096 CELL:
CONTRACTOR NAME:BULLDOG CONTRACTORS, INC.
MAILING ADDRESS:16024 E. SPRAGUE AVE
CITY:SPOKANE VALLEY STATE:WA ZIp:99037
PHONE:509-922-4384 FAx:509-924-4096CELL:
CONTRACTOR LICENSE No.:BULLDCI933M5 EXPIRES: 7445116
CITY BUSINESS LICENSE
No.:BULLDCI933M5
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICrATE USE & PROPOSED USE:
INSTALL NEW POLE BUILDING STORAGE BUILDING i 3p x i/0X/6.
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
1 Height to Peak: 01( ' Dimensions: x 1101No. of Stories:I Total Habitable Space:0
Main Floor SQ FT: Upper Floor SQ FT:N/A Unfinished Basement SQ Finished Basement SQ
FT:N/A FT:N/A
Garage SQ FT: Deck/Covered Patio SQ Impervious Surface 30%Slopes on
/ r1 oo5 �1 FT:N/A Area:N/A PropertymoNE
No.of Bedrooms:0 1"� Construction Type:POLE Heat Source:N/A Sewer or Septic: sew
TOTAL COST OF PROJECT: $ 601 OOP
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 •--submi • and subsequently approved before this application can be processed.
/,
Signature / Date: :__-,/- r-i - i%,::
Updated 1-11-11 Page 1 of 1
nttp://www.spoka nevalley.org/fllestorage/124/938/210/948/1496/2743/Res_Perm it.doc