2015, 01-27 PErmit App: BLD-2015-0140 Pole Bldg Community Development Department (Staff Use Only)
Permit Center
SCITY OF1E 1101.111°N111111%
pokane11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
Spokane Valley, WA 99206
Tel: (509) 720-2540 PERMIT FEE:
T 1Fax: ((509) 688-0037
disj
`/`d p5 enter@spokanevalley.orq
RESIDENTIAL CONSTRUCTION PERMIT AP • ICATION
0 NEW CONSTRUCTION 0 ADDITION/REMODEL
0 DECK Q OTHER
Project 6:D- 015-01440
SITE ADDRESS: 7d,kk E . tittA 4Jt RECEIVED
ASSESSORS PARCEL NO.: 3 a t N{. 70 a y LEGAL DESCRIPTION: Rb
BUILDING OWNER NAME: JAN 2 7 2015
NAME: (3w iN .-4- Kt CSV P MI
T CENTER
ADDRESS: '7 ..a ' £_ ( I d.-,
B : g •7
CITY:SPOKANE VALLEY STATE:WA /TP. i . I
PHONE:C.0 co 9 a 8 - 3 a G 9, FAX: CELL:
CONTACT NAME:LARRY ANDERSON A-DAVE BEAUDOIN
PHONE:509-922-4384 FAX:509-924-4096 CELL: L/ S.-3 a(s-
CONTRACTOR NAME:BULLDOG CONTRACTORS, INC.
MAILING ADDRESS:16024 E. SPRAGUE AVE
CITY:SPOKANE VALLEY STATE:WA ZIP:99037
PHONE:509-922-4384 FAX:509-924-4096 CELL:
CONTRACTOR LICENSE NO.:BULLDC1933M5 EXPIRES:7/25/2014 CITY BUSINESS LICENSE
NO.:BULLDCI933M5
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: }y I Dimensions: a\•( 1c a Y No. of Stories:1 Total Habitable Space:0
Main Floor SQ FT: Upper Floor SQ FT:N/A Unfinished Basement SQ Finished Basement SQ
S•)Cr FT:N/A FT:N/A
Garage SQ FT:N/A Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT:N/A Area:N/A Property:NONE
No.of Bedrooms:0 Construction Type: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 Deve•,ment code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley perm no.a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be r ed o be ubmitted and subsequently approved before this application can be processed.
Signature titailsi Date: �a—2/ S
Updated 1-11-1 Page 1 of 1
http://www.spokaneva lley.org/filestorage/124/938/210/948/1496/2743/Res_Permit.doc