2005, 05-13 Permit App: 05001576 Egress Windows*lane
`Valley
/.9"rne
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: (3 411 E.- V 6 MET— ST'DkA-NFI WA cn Zit
Assessor's Tax Parcel Number(s): 45-16 j 030
Legal Description: PALMETILER._c 1s± L l.3t
0�. “Cl E rJp o € A -SEM Et`1T
PERMIT DESCRIPTION: InISTitt-t-AT1on) OP E6W4SS abowS Cz)
(�) Building Permit ❑ Change in Use ❑ Grading
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
0 Other
OWNER/APPLICANT INFORMATION
Owner MICft'f{'Et- (Thep,
Phone: 12-L4-15-71 Fax:
Address: 13411 DESvtAsc
cycle -Awe- WA -1012_16
City State Zip Code
0 Contractor. IIA
Phone: Fax:
Address:
City
State Zip Code
Ar Applicant: F.E AS owNce-
Phone: Fax:
Address:
City
❑ Architect: rEt1/4.
State Zip Code
Phone: Fax:
Address:
City
WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 1�11 ,,
DIMENSIONS: ,'/,�� X r�;r
# OF STORIES: i
MAIN FLOOR TO SQ. FTG:i �Sd
00j
2"" FLOOR SQ. FTG: r,/
j4C/ao
UNFIN BASEMENT SQ. FTG:
�34
FINISHED BASEMENT FTG:
GARAGE SQ. FTG:0
Si��
DECK/COV. PATIO SQ. FTG: ,�(
OCCUPANCY GROUP: N� 1 0./
iN (TILE
CONSTRUCTION TYPE:
HEAT SOURCE: r /A LIAR
# OF BEDROOMS: 3
TOTAL HABITABLE SPACE:I 0, d
0
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
4' Doo
30% SLOPES ON PROPERTY:
A
SEWER OR ON-SITE SEPTIC
SYSTEM? oW SItt. S6Pr1t-