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2003, 09-18 Permit App: BLD-03-02503 CarportS""pokan . jvalley 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 1 STREET ADDRESS: 14 9--S $D . IJG-/' //e r / ASSESSOR'S TAX PARCEL NUMBER(S): 55 2,n 2. ee on*z ( ,�y CGA /woO) LEGAL DISCRIPTION: Cor b: n G 99 A „ green, --:.-0 < /1/ 11 / F t nt 5 W 7- ) A L T eg Gil.? 2-3- Fx C PERMIT DESCRIPTION: (r,. - p nr'ti OBULLDING PERMIT 0 CHANGE IN USE ®RELOCATION El SIGN ® GRADING Cl TENANT O MANUFACTURED HOME ® OTHER OWNER / APPLICANT INFORMATION ellitOWNER: �e Mrs/ �r•-t1 5n In PHONE: SSCI- O//0 FAX: ADDRESS:I:/a-S" Se, , -80,r Le i- 2Q' W/{ 99a' CITY,STATE, ZIP ®CONTRACTOR: PHONE: FAX: ADDRESS: CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # 0 APPLICANT: 5 6- nnC PHONE: FAX: ADDRESS: CITY, STATE, ZIP ARCHITECT: PHONE: FAX: ADDRESS: CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION af, COST OF PROJECT: HO D- - SOO_ BUILDING HEIGHT TO PEAK: 7 �}i BUILDING DIMENSIONS: / 2 x a-0 NUMBER OF STORIES: ----- NUMBER of BEDROOMS: l FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: 30% SLOPES ON PROPERTY: OCCUPANCY GROUP:. CONSTRUCTION TYPE: MAIN FLOOR SQ FT: 2N0 FLOOR SQ FT: UNFIN BASEMENT: STRUCTURES ON PROPERTY: FINISHED BASEMENT: CRITICAL AREAS: GARAGE: CURRENT PROPERTY SIZE: n COVERED DECK: CURRENT PROPERTY USE: Re S ;Pentc-DECK: CURRENT SEPTIC USE: ✓ CURRENT WELL USE: RIGHT SETBACK: IMPERVIOUS SURFACE AREA: f .: O ir "-P e i - Otte y geprezipi 1.42.,i S. 0 Ales . so i F9®t6* 51,t1.-0//0 W. -. — . WAY __- Id yL/ _- N a It© i$Pat �e�C teo C w S L a p �0 --- - _rialto" /tin rre ase ifli tri APPROVED B %.S �„� L. / n .' J G+e.pe�r- 1 Q - 4e I0 _ 1&rr l - !. 1 t. r