2005, 06-09 Permit App: 05001978 Egress WindowS�Ualley
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
1
Street Address: 59-114- I J &-tyddayti
Assessor's Tax Parcel Number(s): e Vow C� I
Legal Description:
PERMIT DESCRIPTION:
EJ Building Permit ❑ Change in Use ❑ Grading 0 Manufactured Home
O Relocation 0 Tenant Improvement ❑ Fire Safety 0 Other
1
OWNER/APPLICANT INFORMATION
Owner. 6464010W iR1K)f ❑ Applicant: ',.,PaAl Q 4tJwo Co
Phone: S'. 3812 Fax: -- Phone: Fax:
Address: 232-4 4. 5 Address:PIO
Zip Code
\) p t Com.
City
State
❑ Contractor.
Phone: Fax:
Address: Address:
1
City
State
Zip Code
0 Architect:
Phone: Fax:
City
State Zip Code City
State
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact
Zip Code
HEIGHT TO PEAK
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"1' 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:
COST OF PROJECT:
1 / 00
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?