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2003, 07-10 Permit App: BD03-0774 GarageSpokane r,,�Ualley 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: 15 F /3 rocs oL ASSESSOR'S TAX PARCEL NUMBER(S): y&, &3,o/0/ LEGAL DISCRIPTION: PERMIT DESCRIPTION: C TILDING PERMIT RELOCATION a a, 15 Poi. ,ti 9ti�" i 33 FOrV1 -4 v+� go- rale— ID CHANGE IN USE ® GRADING ® MANUFACTURED HOME ® SIGN ® TENANT ® OTHER 1 ct OWNER / APPLICANT INFORMATION 2 OWNER: An1i1("exl,J CULLT PHONE: SOq Sct I •q1 (% FAX: N1/ - ADDRESS: /S90a, E Bray G _tPck _ A �' Z P �(fr CITY,®CONTRACTOR: ® ARCHITECT: PHONE: FAX: PHONE: FAX: ADDRESS: ADDRESS: CITY, STATE. ZIP WA ST CONTRACTOR LICENSE # 'APPLICANT: ANA 41 Ge J tk.) c -mss PHONE:501 8411 % if FAX: it/A-- ADDRESS: ADDRESS: 1590( E Bfcak Spek (,JA '19 ?J5� ' I 'CITY, STATE, ZIP CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: LA -elk nOc)n 130% SLOPES ON PROPERTY: ,VDfl OCCUPANCY GROUP: ©LJn- f' " CONSTRUCTION TYPE: i.JoCJ- 4.CIk STRUCTURES ON PROPERTY: BUILDING HEIGHT TO PEAK:=� P.3( BUILDING DIMENSIONS: 333)3'. NUMBER OF STORIES: NUMBER of BEDROOMS: t FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: ;CRITICAL AREAS: /1/0-4 - CURRENT PROPERTY SIZE:47g . 7 X 1 A ( CURRENT PROPERTY USE: Hc7w`e--t--Il.ky CURRENT SEPTIC USE: il%lhrl. e- CURRENT WELL USE: ,V0A-- RIGHT SETBACK: ?IMPERVIOUS SURFACE AREA: NO ,1_ - 1 MAIN FLOOR SQ FT: 2ND FLOOR SQ FT: „de.' r._ -170 UNFIN BASEMENT: `ri-e S FINISHED BASEMENT: /1)0 GARAGE: q5(< COVERED DECK: DECK: C) V(. 1�3 (cfcr74. qq,7 114 •