HomeMy WebLinkAbout2004, 02-03 Permit App: BLD-04-03491 Shop1
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cosiValley
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:
(01 / S. Q1( c3c oLov\ac t 425
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: '2,Q x g ° K I L' ?o(e_
co BUILDING PERMIT
® RELOCATION
® CHANGE IN USE CI GRADING 0 MANUFACTURED HOME
® SIGN ® TENANT ®OTHER
OWNER / APPLICANT INFORMATION
OWNER:1 ,0: " TiVeA t- v12-1-3
PHONE: YZ93 `)L,nr) FAX:
APPLICANT: c- 5 F\ t Y\ L -
PHONE:
FAX:
ADDRESS: ( S. 3c4r ''ad- Q.d• lnfeenorer$ ADDRESS:
JA 'i90(fo(( CITY,STATE, ZIP
°CONTRACTOR: fNv/ ' c 4 - ® ARCHITECT:
PHONE: [ FAX:
CITY, STATE, ZIP
PHONE: FAX:
ADDRESS: ADDRESS:
CITY, STATE, ZIP CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE 11
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECTJ74,—O0 s8
BUILDING HEIGHT TO PEAK: IQ`I2itser
BUILDING DIMENSIONS: Soygnvlq
NUMBER OF STORIES: 1
NUMBER of BEDROOMS: 0
FLANKING SETBACK: /vA
FRONT SETBACK: ;ID Feet HEW
REAR SETBACK: AC+ F'a Pf -qf
LEFT SETBACK: 1 a freer
RIGHT SETBACK: -)p Oct j`CGT Apo)/
30% SLOPES ON PROPERTY: S-% maybe? MAIN FLOOR SQ FT: '\' M 5 . FT
OCCUPANCY GROUP: 2N0 FLOOR SQ FT: C
CONSTRUCTION TYPE: Qokr. �v�IGQ�vI�
UNFIN BASEMENT:
STRUCTURES ON PROPERTY: Na e ciace4gC- FINISHED BASEMENT: (=24. -
GARAGE: -GARAGE:
COVERED DECK: -65
CRITICAL AREAS:IVI% ret. (12. 0'; (y=f
CURRENT PROPERTY SIZE:' IaC�Y
CURRENT PROPERTY USE:': ync3 Cpsdi 4es DECK:
CURRENT SEPTIC USE: \/CS
CURRENT WELL USE: ) Pf
IMPERVIOUS SURFACE AREA:ILY20 DrWewCA ;\ crrotenc
9c5e_.
i ACRE
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