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2004, 08-11 Permit App: BLD-04-07360 SidingS°�pokan� 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: 36C 4 3©g 5, c Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: ❑ Building Permit ❑ Relocation ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement ❑ Fire Safety 9 Other OWNER/APPLICANT INFORMATION ❑ Owner: df. (,_ctuesAi Phone: Fax: Address: City State I, Zip Code ❑ Contractor �� 5��+ Phone: <3lp•-)0Fax: gal - 5fl Address: 9931 r, 6i"1, cvnake_, u rA 9V-6ci City State Zip Code City Applicant: Phone: Address: Fax: City State Zip Code ❑ Architect: Phone: Fax: Address: WA State Contractor License #: ?51O64eiJl(' Contact: State Zip Code Akin PERMIT/BUILDING INFORMATION HEIGHT TO PEAK DIMENSIONS: # OF STORIES: MAIN FLOOR TO SO. 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:, oirl Y/D 30% SLOPES 014 PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM?