2004, 10-21 Permit App: BLD-04-07998 Egress Windowsii�'%
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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
7.AssStreet Address: 3-3/Q Cct-441° 97.2(2 --
Assessor's
essor's Tax Parcel Number(s):
Legal Description: C
PERMIT DESCRIPTION: g5{ eSS W laL
❑ Building Permit
El Relocation
❑ Change in Use ❑ Grading
El Tenant Improvement E Fire Safety
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
VOwner: '('n t c k04 4-3-0 1 C -
Phone: cfC3 -law) F x:
A dress: 5n;o CaA-c
QOlCcw W cyQ2 7
City State Zip Code
El Contractor:
Addr- s:
Fax:
/City
WA State Contractor License #: Contact:
State
Zip Code
Applicant:
Phone:
Address:
Fax:
City State Zip Code
❑ Ar itect:
Phon Fax:
Address:
City
State
Zip Code
PERMIT/BUILDING INFORMATION
..HEIGH,T_TO_P_EAK:_.... _ ____..._..__.__DIMENSIONS
._. .__...- __#OF_STORIES..___..._
MAIN FLOOR TO SQ. FTG:
2ND FLOOR SQ. FTC:
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:
COST OF PROJEC
PD 6)
30% SLOPES ON PROPERTY:_
SEWER OR ON-SITE SEPTIC
SYSTEM?