2003, 08-15 Permit App: BLD-03-02246 Egress Windows1
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688 -0036 Fax: (509)688 -0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMIT DESCRIPTION:
BUILDING PERMIT L0 CHANGE IN USE
,® RELOCATION
® SIGN
III
GRADING
® TENANT
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MANUFACTURED HOME
12 OTHER
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OWNER / APPLICANT INFORMATION
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OWNER: /4, %'af ' Vto/1 e 5' `116 wh ® APPLICANT:
PHONE: FAX: PHONE: FAX:
ADDRESS:
ADDRESS:
% % CITY,STATE, ZIP
CONTRACTOR: -0)7✓ 4!� /fl
PHONE: 6Upaie y FAX: qa, q> 7 I v
ADDRESS: / bA 9gra ej V efzd / ,
CITY, STATE, ZIP
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WA ST CONTRACTOR LICENSE #
ARCHITECT:
PHONE:
ADDRESS:
CITY, STATE, ZIP
FAX:
CITY, STATE, ZIP
CONTACT:
PERMIT /BUILDING INFORMATION
COST OF PROJECT: 2O
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:
NUMBER OF STORIES:
NUMBER of BEDROOMS:
DATE:
30% SLOPES ON PROPERTY:
CICCUPANCY GROUP:
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
MAIN FLOOR SQ FT:
2ND FLOOR SQ FT:
UNFIN BASEMENT:
FINISHED BASEMENT:
GARAGE:
STAFF:
METHOD OF PAYMENT.
CASH CHECK
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VISA
BANKCARD #,. EXPIRES:
AUTHORIZED SIGNATURE.
VIN #