2004, 04-19 Permit App: BLD-04-04109 Finish BasementSpokane
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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
6 Street Address: / 7s l ,P,At l t;
Assessor's Tax Parcel Number(s):
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Legal Description: /f2// -p R ((Lois 5cii
PERMIT DESCRIPTION: t vtLJtoO(,,,GQIY& i t7Nk -\1(W1}iAl t i Ork 2
uilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement E Fire Safety ❑ Other
Relocation
OWNER/APPLICANT INFORMATION
Owner: &,2a
Phone:9ad--460o, Fax:
Address: /9s$ cLATTA0y
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city State Zip Code City
❑ Applicant:
Phone:
Address:
Fax:
❑ Contractor: ,Soif
Phone:. Fax:
Address:
City
State
WA State Contractor License #:
Zip Code
State Zip Code
•❑ Architect:
Phone: Fax:
Address:
City -
Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"° 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:
CAST OF PROJECT:
moi' tV,Oob ° `
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?