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HomeMy WebLinkAbout2004, 03-25 Permit App: BLD-04-03901 Repair Fire DamageSpokane .0.0Ualley 40. 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: S • �� 23 Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: © Building Permit ❑ Relocation ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement 11 Fire Safety ❑ Other OWNER/APPLICANT INFORMATION ❑ Owner: A\ -,c(. e G )( }e r Phone: Fax: ❑ Applicant: Phone: Address: S l-42.3 I cv-Glt5 h Address: S \ y'q City tate Zip Code Fax: City Contractor: Si 114 (0 G-ci ra % Co- , ❑ Architect: Phone: 9 2 6- 357-5" Fax: /2 8- y f y I Phone: Address: 15 32 E • A/16, 1-e t -i.1 S+ i I p. lc ceiL kAJ City WA State Contractor License #: � 1 M.M C e. Contact: 1 gi'-4-213—/ State Zip Code Address: State Zip Code Fax: City State Zip Code PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" 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: 3 0 IL- , 30% SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC SYSTEM?