2015, 01-12 Permit App: BLD-2015-0051 Pole Bldg Community Development Department (Staff Use Only)
Permit Center
11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
cITyneSpokane Valley, WA 99206
G Tel: (509) 720-2540 PERMIT FEE:
Valley Fax: (509) 688-0037
permitcenitcenter@spokanevallev.orq
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION 0 ADDITION/REMODEL EI ACCESSORY BUILDING
0 DECK 0 OTHER Iect 5-cc25/
SITE ADDRESS:14405 E.22ND AVE. RECEIVED
ASSESSORS PARCEL NO.:45262.2204 LEGAL DESCRIPTION:JAri4
BUILDING OWNER NAME: 2015
NAME:JIMFROHM SV P -:'-'� iIT CENTER
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ADDRESS: R E V. # 1._.�
CITY:SPOKANE VALLEY STATE:WA ZIP:99037
PHONE: FAX: CELL:
CONTACT NAME:SHAUN HOAG
PHONE:509-951-9027 FAx: CELL:
CONTRACTOR NAME:C&S CONSTRUCTION OF SPOKANE, INC
MAILING ADDRESS:525 S. BARKER RD.
CITY:GREENACRES STATE:WA ZI3:99016
PHONE:509-924-9027 FAx:509-924-9027 CELL:951-0637
CONTRACTOR LICENSE No.:CSCONSC87104 EXPIRES:9-24-2015 CITY BUSINESS
LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
24x30x10 POLE BUILDING
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:14' Dimensions:24x30x10 No.of Stories: Total Habitable
Space:
Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ Finished Basement SQ
FT: FT:
Garage SQ FT:720 Deck/Covered Patio SQ Impervious Surface 30%Slopes on
FT: Area: Property:
No.of Bedrooms: Construction Type:POLE Heat Source: Sewer or Septic:sEwER
TOTAL COST OF PROJECT: $13,300
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 regLtred to be submi ed . d subsequently approved before this application can be processed.
Updated 1-11-11 Page 1 of 2
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