HomeMy WebLinkAbout2005, 03-28 Permit App: 05000961 ReroofFROM : ALPINE CONSTRUCTION FAX NO. : 5094485504 Mar. 21 26-05 09:58AM P1
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. PERMIT APPLICATION WORK SHEET
-:SP. OKAME VALLEY COMMUNITYLIEVELOPMEA(T
BUILDINGDIVISIOIV
11707 East Sprague A ve Ste 106
Spokane Valley, WA 99206
��04on&(509)688-0036 fa.)q (509)688-0037
REQUIREWSIT-E-4NFORMATION
STREET ADDRESS;— 11712— �oL4
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMrr DESCRIPTION.:
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UILDINGTERNM
., G . RADING .[39AN.UFACTURED HOW
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OWNER/ APPLICANT INFORMATION
13 OWNER- APPLICANT.
PHONE:
FAX: PHONE:_FAX:
ADDRESS .'
CITY,STATE, Z . IV, ADDRESS: CITY, STATE, ZIP
>0 614TRACTOR: 1,-'j f
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6 '4j ARCHITECT;
PHONE.C/Y 9. 80,59
FAX: yve PHONE:- FAX: --..--
ADDRESS1 X" ADDRESS:
_qL 9 ewd */fieF PA- 5 CITY, STATE, ZIP
CITY,,STATIE� ZIP
WA ST CONTRACTOR LICENSE
PERM IT/BUI LDINGIINFORMATION
COST OF PROJECT: 30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT:-.,,
BUILDING HEIGHT TO PEAK.- CFCCUPANCY.GROUP*. 2ND FLOOR SQ FT:�
BUILDING DIME I NSIONS:_ . CONSTRUCTIO.RTY.P15- UNFIN BASEMENT:_
'NUMBER OF STORIES: STRUCTURES STRUCTURES:bN PROP I ERTY.•- FINISHED BASEMENT:--
� GARAGE:
NUMBER of BEDROOMS:- CRITICALA
-
FLANKING SETBACK: CURRE14T PROPER SIZE' COVERED DECK:
FRONT SETBACK: CURRENT PROPERTY USE: DECK:
REAR SETBACK- CURRENT SEPTIC USE:
LEFT SETBACK: CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA
MAR 21 2005 08:55 5094485504 PAGE.01