2013, 02-05 Permit App EGR-2013-0003 Frontage ImprovementsSpokane
Valley
itilommunity Development Department
rmit Center
1703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 720-5240
Fax: (509) 688-0037
permitcenter(aispokanevalley.org
(Staff Use Only) D�
PERMIT NO.: G 6L )--a 0-D/
CHECKLIST?: ❑Y ON INIT:
LAND DISTURBANCE PERMIT APPLICATION
STAFF USE :
❑ ENGINEERED GRADING
❑ REGULAR GRADING ❑ GRUBBING & CLEARING
APPLICANT USE :
SITE ADDRESS: 1803 & 1823 N. FLORA ROAD
ASSESSORS PARCEL NO.: 45124.0147 & 45124.0153
APPLICANT NAME: LANDED GENTRY DEVELOPMENT, INC. - DAN MELVILLE
PHONE: 928-6523 EMAIL: DANIEL@LANDEDGENTRY.COM CELL:389-2865
CONTACT NAME (D SAME AS APPLICANT):
PHONE:
EMAIL: CELL:
PROPERTY OWNER NAME: JOSEPH AND LYNDA HOUSE / RANDALL SHOVE ❑ CHECK IF APPLICANT
MAILING ADDRESS: 17406 E. MONTGOMERY AVE. / 1823 N. FLORA RD.
CITY: SPOKANE VALLEY
STATE: WA ZIP: 99016
PHONE:
EMAIL: CELL:
CONTRACTOR NAME: (• TBD): ❑ CHECK IF APPLICANT
MAILING ADDRESS:
CITY:
STATE: ZIP:
PHONE:
EMAIL: CELL:
STATE LIC. NO.:
EXPIRES: UBI:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
FLORA ROAD FRONTAGE IMPROVEMENTS ALONG SHP-08-12 WHICH INCLUDES ROAD WIDENING CURB AND GUTTER ROADSIDE DRAINAGE SWALE AND
SIDEWALK. THE PURPOSE OF THE IMPROVEMENTS IS TO SERVE A FUTURE LONG PLAT NAMED CENTENNIAL PLACE.
ESTIMATED QUANTITIES (CUBIC YD): CUT: 270 FILL: 210
IF CUT, PROVIDE DESTINATION OF SOIL: ONSITE FOR FUTURE LONG PLAT USE
START DATE: MARCH 2013 ESTIMATED COMPLETION DATE: MAY 2013
Signature:
02/ 05/2013
Date
DE-02/ V-3/ 6-22-12 Page 2 of 2