2004, 02-23 Permit App: BLD-04-03600 Pole BuildingFEB -23-2004 MON 09:27 AM GHC CPAU
FEB 20 2004 16:05 FR
FAX NO. 5092417615
TO 2417615
P. 03/04
P.02/04
PERM T APPLIGA ON WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Sto 106
Spokane Valley, WA 00206
Phone: 611-0056 Poor SOS 688.0057
REQUIRED SITE INFORMATION
/14 I LI E ri A p r n
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A88E SSOR`0 TAX PARCEL NUMBER63)
. ji.E6AL DISORIPTION:. 3 ? Zi 3 . / Lt
PERMIT DESCRIPTION:
1Nc•Pra lr Q13tAAT48.II+i.D'sIC = QriaAni m
MON DEIGN OTINANT
• Q•nlraitiuneruIKD now
OWNER / APPLICANT INFORMATION
10(owNeRt C Lkke C. rin// D APPu0AN7:
PHONE '534-SWG,�Fe ;g1-76/'- PHONE:
ADDRE88:j 1'1'S,l2Sk[il2A. S4r:fy 4 ADDREBR; .•
n
FAX:
OONTRAOTCR'
PHON
ADD
WA OT CONTRACTOR LICENSES
ORY, STATE, ZIP
CITY, STATE, ZIP
AROHITEOr
PHONE: FAX
ADDRE S
. CON1AOT
OITY, STATE, ZIP
• PERMIT/BUIL'DINGINFORMATION
008T OF PROJECT: I C), cco . o d SO% SLOPES ON PROPERTY; /1//4-
-
BUILDING HEIGHT TO PEAK: I LI a 611 OCCUPANCY GROUP _1 Sp
BUILDING DIMENSION, l i ,x 2 LI ' CONSTRUCTION TYPE�-
NUMBER OF STORIES; 1 STRUCTURES ON PROPERTY;....
NUMBER of BEDROOMS; CRITICAL AREAS
FLANKING SETBACK:
FRONT SETBACK: 3S.
REAR SETBACK: JO I
LEPT SETBACK: O 1
RIGHT SETBACK: G
FEB 23 2004 09:36
CURREN/ PROPERTY SIM IIAI X If,,C7'
CURRENT PROPERTY
CURRENT SEPTIC USE. ,.(ILA -
CURRENT WELL UM &A
IMPERVIOUS SURFACE ARE/4_41.A.
MAIN FLOOR SQ FT; S74 51.
2N0 FLOOR -SQ FT;- AM
UNFIN BASEMENT: /Wg'
FINISHED BASEMENT: ! v l
GARAGE /VA
A
COVERED DECK: Ivi'
DECK:_ !i%/�'
PAGE.03
FEB -23-2004 MON 09:28 AM GHC CPAU
FEB 20 2004 16;05 FR
ANUFACTURED HOME
WIDTH;
YEAR;
MANUFA
FAX NO, 5092417615
TO 2417615
P. 04/04
P.03/04
SIGN
SD FT OF SIGN: HEIc OF
X OF SIGNS: AREA OP EAST SIGN;
TYPE OF SIGN'
preevio US ADDRESS: '
PROPOSED USE:
FIRE SPRINKLER: FIRE
PAINT SOOTHLT:
FIREWORKS DISPLAY:
BLASTING:.
DATEMME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER:
ADDRESS.
INSPECTOR:
ADDRESS:
PHONE FAX*
•
PHONE:
CITY. 3rATf. aP
FAX:
ciTY, UTATI, ZIP
SPECIAL INSPECTIONS.
CI BOLTING
0 CONCRETE
.D REINFORCEMENT • 13 WELDING
FIRM NAME: PHONE: FAX:
INSPECTOR(S);
Is PUBLIC SEWER AVAILABLE: . YES P1:1
IF YES: COUNTY CITY
I. PUSUC WATER AVAILABLE: yes .13 NO IF YES. WHICH WATER DIST/MR:
PROPURTY LCIGATED WITHIN DESIGNATED $TORMWATER CONTROL AREA: t YES CI NO
IS THE PROPERTY LOCATED WITHIN ASA: 13 YES 0 NO • PIMA: CI YE& CI NO
DATE;
STAFF
lifE71f00 OF PAYMENT:
0 0
CASH CHECK
IIANKOARDP
AUTHOR= SIGANIVR
. 4
0,1116": VIM*
`FANO PERMIT APPUCIATIORS WILL ONLY HE ACCEPTED WITH MAJOR BANKCARD
FEB 23 2004 0935
PAGE.04
FEB -23-2004 MON 09:27 AM GHC CPAU
FAX NO. 5092417615 P. 02/04
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