2005, 02-04 Permit App: 05000337 Siding, SoffitSpokane
jValley
05-3.32
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:
V8618 E.
gooir1 e- 4W
r een acres
Assessor's Tax Parcel Number(s):
Legal Description: rr y
�l [ ( S; Q,;6ty/ a.to , So
PERMIT DESCRIPTION:
Li Building Permit
Relocation
Change in Use n Grading
Tenant Improvement ❑ Fire Safety 1 Other
Manufactured Home
OWNER/APPLICANT INFORMATION
Owner: D0 et Ncite-
Phone:534-599-9 Fax:
Address: 4'f02 F_, Deme+ Av.
s okame (,JA 99212_-
Cit/ t State Zip Code
Contractor: p LAJ h e r
Phone: Fax:
Address:
City
State Zip Code
WA State Contractor License #:
Applicant:
Phone:
Address:
Fax:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2N0 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:30%
1"0 0
5
SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?