2004, 01-23 Permit App: BLD-04-03446 Egress WindowSfitiliane
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BU/LD/NG DIVISION
11707 East Sprague Ave Ste 106'
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: II 0(
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ASSESSOR'S TAX PARCEL NUMBER(S):
.1 LEGAL DISCRIPTION:
PERMIT DESCRIPTION: tn5W, c E L-' (UC%+-) 6N. ,pG.e-yC \\
DBUILDING PERMIT ❑CHANGE IN USE • CI GRADING CI MANUFACTURED HOME
®RELOCATION ® SIGN El -TENANT f OTHER
OWNER / APPLICANT INFORMATION
®OWNER: J0kNf1R- citn
PHONE: I21,-- IbTJ
/ FAX: �"
ADDRESS: 6Ito t EDO\.UC�I* \kik li4t
STATE, ZIR
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®CONTRACTOR: 2)15 -LF
PHONE:
ADDRESS:
CITY, STATE, ZIP
CI
FAX:
WA ST CONTRACTOR LICENSE #
APPLICANT:
PHONE:
ADDRESS: -
CITY, STATE, ZIP
FAX:
ARCHITECT:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT!11Oin Q O -
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:
NUMBER OF STORIES:
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:.
MAIN FLOOR SQ FT:
2N0 FLOOR SQ FT:
CONSTRUCTION TYPE: UNFIN BASEMENT:
STRUCTURES ON PROPERTY: FINISHED BASEMENT:
CRITICAL AREAS: GARAGE:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
COVERED DECK:
DECK: