2005, 04-20 Permit App: 05001237 ReroofFROM : ALPINE CONSTRUCTION
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FAX NO. : 5094485504 Mar. 29 2005 09: 16AM P1
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• . PERMIT APPLICATION WORK SHEET
.:SPOKANE VALLEY COMMUNITYDEVELOPMEN; c -7D7
BUILDING DIVISION ��JJ Vj
11707 East Sprague Ave Ste 106
_ Spokane Wiley, WA 99206. .
`Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED'SITNNFORMATION
STREET ADDRESS:
°l 01/4\
Bflsl�,
ASSESSOR'S TAX PARCEL NUMSER(S)-
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: CZ. r. Roo F'
jirBUILDING PERMIT
°RELOCATION
0 -CHANCE IN USE • D GRADING .° MANUFACTURED ROME
°SIGN • [}TENANT O OTHER
OWNER / APPLICANT INFORMATION
01 I HQ A SN ° APPLICANT:
PHONE: FAX : PHONE' FAX:
ADDRESS:
EI -CONTRACTOR: k L P I,a €
CITY,STATE, ZIP
Ca.-) 6: it. V C.Ti v •J
ADDRESS
° ARCHITECT:
CITY, STATE, ZIP
PHONE: 4' 8' a099 FAX: Lia' PHONE:
ADDRESSHVtS E CItoNNA,A.t OA, 5pai:s4. 991w ADDRESS'
CITY,STATE, ZIP
WA ST CONTRACTOR LICENSE # p'LPI Z -'k p5 ,,#a v -CONTACT: DA S 2A PPE
FAX:
CITY, STATE, ZIP
PERMITBUILDING"INFORMATION
COST OF PROJECT: ti 2.v
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:
NUMBER OF STORIES:
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK -
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
MAR 29 2005 08:13
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
MAIN FLOOR 50 FT:_
2N0 FLOOR SQ FT:_
UNFIN BASEMENT:
STRUCTURES ON PROPERTY: FINISHED BASEMENT:_,
CRITICALAREAS: GARAGE:
CURRENI PROPERTY SIZE' COVERED DECK:..
CURRENT PROPERTY USE: DECK:
CURRENT SEPTIC USE:
CURRENT WELL USE*
IMPERVIOUS SURFACE AREA:
5094485504 PAGE.01