2004, 06-11 Permit App: BLD-04-04590 GarageBUILDING 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: // q'c;.23 f, 8t c-zey�
Assessor's Tax Parcel Number(s): ?/5-71/ /
Legal Description:
PERMIT DESCRIPTION: A4,4-4ye Pees
Building Permit
❑ Relocation
❑ Change in Use ❑ Grading (l Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: 7-74/ T L ODA/6. ❑
Phone: 9,9,6- &et/ g Fax:
Address: //9s_3 E , AziGCC?'c X9-6/'
v21L4&-/ v11.4 X1910(,
City State Zip Code
❑ Contractor: b , ? CES .0 ;;�J_
Phone: i�/... o 73 Fax: Q2 V 4. 337
Address: O///
ef:"; . 794)7
City�r� C �jtate Zip Code
at-
WA State Contractor License #:
Applicant: Zti) a Ce7-' (
Phone: q,2-'/-0,73 Fax:
Address: , + // � -�.f
4?
a.a
State Zip Code
El
Architect:
Phone:
Address:
Fax:
City
Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 13
DIMENS O _C r
# OF STORIES:/
MAIN FLOOR TO SQ. FTG:
2"" FLOG SQ. FTG:/
S7
UNFIN BASEM NT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARA SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
C NST�% CTION TYPE:
2t�G� ",r,rte-t'-
HEAT SOURCE:
4,,v ,e---
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
a 4(
tof the '-‘roogreet
..se sod
*nos * pleprov
Ito j0W4 vottoso pa vsolesassoons
°I)Iesesttoot " vt;o7101"6"."
iso dimerroonc top • 10000.
toss! woo**
two to'r
0