2008, 06-23 Permit App: 08002386 Grading Permilnter
*tamem 11703 E Sprague Ave,Suite B-3PERMIT NUMBER: J lam'
p y WA 99206 `Spokane Valley,
4000 Valley' (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
www.spokanevallev.org
Community Development
Grading ❑ Rough/Clearing❑ Full Grading
Permit Application ❑ Underground Site
Improvements/Landscaping
SITE ADDRESS
ASSESSORS PARCEL NO: 3 s2'/ ..2rp�
1 LEGAL DESCRIPTION:
Property Owner Excavation Contractor
Name: •,�A4.IC Ca,.r/n rt.,o d L- �. Name:
Manager: N 1I ( Address: 0Ir , f'
Address: 'i1 I / E iV £i t P 4' KO °L City: State: Zip:
City: $ Zips 2"'hone: Fax:
Phone: O I� State: VA—Zip:9 9/ -9$Z D lex: Lic No. Exp Date:
Contac Person City Business Lic No:
Name: Engineer
Phone: Company Name:
Address:
Identify and describe the work and indicate the use:
City: State: Zip:
Phone: Fax:
Lic No:
IQ,rd
S D1 ///I ei
f r an cf Soil Testing Firm:
Company Name:
61, led 1 Address:
City: State: Zip:
Phone: Fax:
Estimated Excavation/Cut(Cu Yd): / CO—.Zpe Estimated Embankment/FilI(Cu Yd):
Destination of Excavated Materials:
Start Date: Estimated Completion Date:
The permitee verifies,acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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.
•
Signature: Date:
Method of Payment: (Faxed permit applications will only be accepted with major bankcard) 3
nCash n Check n Mastercard VISA JU� hop
U [t
Bankcard#: Expires: VIN#:
Authorized Signature: 111.....C(X
REVISED 8/2512005 ':',V
Project
4 New project
A
Pipre-app meeting ❑
iieTransmittal Plan revisions D
City of Spokane Valley Transmittal Date:
.0,00
Community Development Monday,June 23,2008
Department
11703 E.Sprague Ave,Suite B3
Spokane Valley,WA 99206
Phone: 509.688.0036
Site Address: 6425 E 14TH AVE Project Number: 08002386
Parcel Number: 35243.2104
Zoning: UR-3.5 Water District:
Fire District: FD 01
Applicant: GERMANOVICH, ALEX & SVETLAN Owner: GERMANOVICH, ALEX & SVETLAN
2521 E EVERETT AVE 2521 E EVERETT AVE
SPOKANE, WA 99217 SPOKANE, WA 99217
(509) 991-9820
e-mail: e-mail:
Contact: GERMANOVICH, ALEX & SVETLAN Occupant: RECEIVED
2521 E EVERETT AVE
SPOKANE, WA 99217 e-mail: CSV Development Engineering
(509) 991-9820
e-mail: , Z 5
Contractor: OWNER Arch/Engineer: Project#03CX-)Q3g10
NameGeXIriavi0Uail 6
( ) - 0 Submittal #
e-mail:
Project SITE GRADING
Description:
Building Landuse Engineer Utilities Health Fire Dist Assessor
APPLICATION
SITE PLAN '
Please send all plan review and project comments via e-mail to the
highlighted individuals.
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