Loading...
2004, 10-22 Permit App: BLD-04-08008 & BLD-04-08009 Change of Usea4r- rvd/moil BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 506 'Nt \..S2 SS i 1< Assessor's Tax Parcel Number(s): Legal Description:. ( PERMIT DESCRIPTION: CIU I )tin IC k `b Res,d&ct \ D kat -1 bases. A, sk Er Building Permit Change in Use ❑ Grading ❑ Manufactured Home ❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION 0 Owner: Lai l-� tDz9k Phone: q -q o 9 Fax: Address: jctto 8 1�1. 3ess�e (z.d- cQOK2rE Vatlei CAA State clW Zip Code iJ Applicant:, Phone: Address: Fax: City State Zip Code ❑ Contractor: ❑ Architect: Phone: Fax: Phone: Fax: Address: Address: City State Zip Code WA State Contractor License #: City Contact: State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TQ.P_EAK _ _ _ _ _ __ __ DIMENSIONS #_OEST_ORIES MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM? Ins wl L (.G 6 « d atf- - -7``t e r- r a tJJ?--tLS xY l4`` cc - wall! - -- v1 e7-- ( Cys- 5 CLZA4-4e- t rocM fir^' j`1 r 1 wr i� b APPRO1t%ED ,R Atter Yew 30' 7" 13' 11• 16'4' 7 5- 6'--F Fu ace !' 1• � 10 10r---/ octicez � �11- fi L V11• -� Common Area c 7// Har (1) 13' 3• r--�-� 318athrodm FF'_?4 1L Laundry b r 95' 13' 11• 1 _4/ nai Sd dsemeri {o �.2 erce r p13v\ Gut ci\ r,s SkoAri 06/10/2003 Page: 10