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2004, 01-23 Permit App: BLD-04-03446 Egress WindowSfitiliane aosiy 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( enookklik 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 ,&' Ay 4 0 ®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: