2005, 02-07 Permit App: 05000346 DeckSane
l. Valley
,S4
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: 4/ CC ted
Assessor's Tax Parcel Number(s):
Legal Descripton:
2,
PERMIT DESCRIPTION: 2o x,g4'
Building Permit P Change in Use ri Grading
Li Tenant Improvement fl Fire Safety
Relocation
E Manufactured Home
Other
OWNER/APPLICANT INFORMATION
Owner: x
Phone: 229
Address: 57
City!
Contractor:
Phone:
State
Pd
92/4
Zip Code
Address:
Fax:
Applicant:
Phone:
Address
Ci
Archit ct
Phon
Addr ss:
City State Zip Code City
WA State Contractor License #:
Contact:
tat
PERMIT/BUILDING JNFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2Nu 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:
_
C9-1- OF PROJECT:
061 04) 0
30% SLOPES ON PROPERTY:
SEW R ON-SITE SEPTIC
'YS i E .
x 60 OCCK &K.)
L.A.(r Sours c M Co 2.K
)
44*Sfrect°Mo.
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13' WID
BORDER
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r
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JUl 2 2 2004
DEPKANE VALLEY
QAFrrmENT OF
I�NITY OEVEI.OPMENT
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Signed:
ARLEY C DOUGLASS II4es:
8510 N. CRESTLINE
SPOKANE, WA 99217
\' PLANNING DEPT. APPROVED
BY:
DATE:
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SUMMERFIELD EAST 5TH ADDITION