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2004, 10-21 Permit App: BLD-04-07998 Egress Windowsii�'% dosolVall#Valley 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?