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2005, 04-20 Permit App: 05001237 ReroofFROM : ALPINE CONSTRUCTION *lane Frey. FAX NO. : 5094485504 Mar. 29 2005 09: 16AM P1 v�-1237 • . 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