2004, 04-20 Permit App: BLD-04-04130 Finish BasementCITY 0, "m
Spokane
, . Valley
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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: }(H9/ 7 43. 3e3.4- JZ0 d
Assessor's Tax Parcel Number(s):
Legal Description:
+PPE,�RMIT DESCRIPTION: BqSewte., `4- �; n;s\O Th
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❑ Relocation n Tenant Improvement Fire Safety n
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OWNER/APPLICANT INFORMATION
Owner 364 n 7 5" -e -
Phone: q9z- oc(o7 Fax:
Address: Ei9i7 4). 3ts4poC.Ane W
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❑ Contractor: s --z, F -
Phone: Fax:
Address:
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Zip Code
City
State
Zip Code
Applicant:
Phone:
Address:
Fax:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
State
WA State Contractor License #: Contact:
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
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'
3g5t7.
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
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