2003, 07-10 Permit App: BD03-0773 Demo GarageSpokane
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: / S 1O& 5 E. roc k
ASSESSOR'S TAX PARCEL NUMBER(S): '1 673 C% ' 0/0
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: re_Do-cd
330 s 4- Sort_ bUJ1 Ll _lot pot g
® BUILDING PERMIT ® CHANGE IN USE 0 GRADING
® RELOCATION
0 SIGN
® TENANT
P., I
NUFACTURED HOME
THER
OWNER / APPLICANT INFORMATION
4WNER:AA4( vt j J wc-4ers
PHONE:SOI • €fi /- 9 /go F
y' FAX: /� N//
ADDRESS: / S•goCo E &oak S kA1�W� -, ! 1y
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CITY,STATE, ZIP
CONTRACTOR:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE #
i
4PPLICANT: AA -1 -41/4,A -1-i-
S J lik.)cJc r S
PHONE: SO! I-gll(o FAX: N/ A -
ADDRESS: 15goC, g I3 roa i ,. cycL c WA-, g9'41l!,
CITY, STATE, ZIP
ARCHITECT:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:4/X X / S
NUMBER OF STORIES: /
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
30% SLOPES ON PROPERTY: -E�
MAIN FLOOR SQ FT:
OCCUPANCY GROUP: 2ND FLOOR SQ FT:
UNFIN BASEMENT: i`',''\
FINISHED BASEMENT: /110 Ate -
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY: t e 5
CRITICAL AREAS: 6/0 GARAGE: Y�5
CURRENT PROPERTY SIZE:G7 , 7 A I A..g • 0 COVERED DECK:
CURRENT PROPERTY USE: 004AN15 DECK:
CURRENT SEPTIC USE:
CURRENT WELL USE: /
70
RIGHT SETBACK: IMPERVIOUS SURFACE AREA: A.JO
1