2004, 12-27 Permit App: 04009532 ReroofFROM : RLPINE CONSTRUCTION
,Valley
STREET ADDRESS'
FAX NO. : 5094485504
Dec. 23 2004 12:41PM P1
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Favid509)688-0037
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ASSESSOR'S TAX PARCEL NUMBER(SI.
LEGAL DISCRIPTION:
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APPLICANT INFORMATION
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ADDRESS*
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DAPPLICANT:
PHONE: FAX:
ADDRESS:
ARCHITECT.:
PHONE: FAX
CITY, STATE, ZIP
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:PERMIT%BUILDINGINFORMATION
COST OF PROJECT: y7 •n)
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:
NUMBER OF STORIES'
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
DEC 23 2004 11:39
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
MAIN FLOOR SQ FT:
2N0 FLOOR SQ FT:_
CONSTRUCTION TYPE: ' UNFIN BASEMENT:.,,
STRUCTURES ON PROPERTY: FINISHED BASEMENT:_
CRITICAAL• AREAS: ' GARAGE:
CURRENT PROPERTY. SIZE' COVERED DECK:
CURRENT PROPERTY USE: DECK:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA'
5094485504 PRGE.01