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2003, 10-01 Permit App: BLD-03-02637 Relocate Residence*flan'.0001; galley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUN/TY DEVELOPMENT BUILD/NG DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: mg:02oz/ C FA/,4vi&G2% ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: r PERMIT DESCRIPTION: ,4 I/1;o"-u . ® BUILDING PERMIT O CHANGE IN $RELOCATION 0 SIGN /L-PQnCotcnk L1 E 0 GRADING 0 MANUFACTURED HOME CITENANT ®OTHER OWNER / APPLICANT INFORMATION CI OWNER: //S�FA/i9 .0 k/� FLAW W /13'4 0 APPLICANT: PHONE: al.:% -en % f% FAX:/PHONE: FAX: ADDRESS: lllO N gAcira/�� ADDRESS: M �_ CITY,STATE,CITZIP ® CONTRACTOR: �r�il'`%u/n±hf1X% 7'7/1Li�7�(G�✓i"D �C— 0 ARCHITECT.: PHONE: ( l i "' { 7 G FAX:/ ,�-�'^✓-Iic-Tp PHONE: FAX: ADDRESS. Pon, -'7 ?4,6_66- fp/� J - 2 4 qL©./ ADDRESS: P1 iKE A .4.err-CITY,STATE, ZIP CITY, STATE, ZIP CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: BUILDING DIMENSIONS: NUMBER OF STORIES: NUMBER of BEDROOMS: FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: CONSTRUCTION TYPE: UNFIN BASEMENT: STRUCTURES ON PROPERTY: FINISHED BASEMENT: CRITICAL AREAS: GARAGE: CURRENT PROPERTY SIZE: COVERED DECK: CURRENT PROPERTY USE: DECK: CURRENT SEPTIC USE: CURRENT WELL USE: MAIN FLOOR SQ FT: 2N0 FLOOR SQ FT: - RIGHT SETBACK: •IMPERVIOUS SURFACE AREA: 3 D 1 1 1 *lane ee aossMa11ey PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUN/TYDEVELOPMENT BUILD/NG DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION STREET ADDRESS: Voq C FA/RI/lE•' ASSESSOR'S TAX PARCEL NUMBER(S): (Ty"goV'. IS-0'z— LEGAL DISCRIPTION: 73 ON 5 O,e a$'#4L "1 1"O le5741.- PERMIT DESCRIPTION: ® BUILDING PERMIT 0 CHANGE IN USE 0 GRADING ",RELOCATION O SIGN ® TENANT 0 MANUFACTURED HOME Q -OTHER OWNER / APPLICANT INFORMATION OWNER: fA 1q4 FL 44/1761W PHONE: c &? -0:1:441" FLAX: -ADDRESS: 61o1A 4.Te/� u nem CITY,STATE, ZIP ®CONTRACTOR: ® ARCHITECT: PHONE: FAX: PHONE: ADDRESS: ADDRESS: CITY, STATE, ZIP 1 ® APPLICANT: lem-e----- PHONE: FAX: ADDRESS: WA ST CONTRACTOR LICENSE # CITY, STATE, ZIP FAX: CITY, STATE, ZIP CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: I? / BUILDING DIMENSIONS: 027x 1,47, NUMBER OF STORIES: NUMBER of BEDROOMS: 3 FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: fl RIGHT SETBACK: 1sr 30% SLOPES ON PROPERTY: /1.0 OCCUPANCY GROUP: CONSTRUCTION TYPE: lP%I/F7/7 Flea - STRUCTURES ON PROPERTY: CRITICAL AREAS: grix-s2-- CURRENT PROPERTY SIZE: /PX/ i v CURRENT PROPERTY USE: CURRENT SEPTIC USE: y -n CURRENT WELL USE: /" v IMPERVIOUS SURFACE AREA: 1 MAIN FLOOR SQ FT: 4.74A 2ND FLOOR SQ FT: J�9 UNFIN BASEMENT: FINISHED BASEMENT: /fl D GARAGE: YIp COVERED DECK: )9 J DECK: 31,117 331N37 X05 .•tLc h 1Z'fl2 APPRovED BY 421 :1 ZAV M3IA I V4 v ‘RAAD e 2" " n,ssibIe oot ac%#-• Diego! fl 24" .byes" X ‘, i � „EN TS GmLLim <POLY a API?IER THESE PLANS MIST ON THE JOB- SITE KEPT �;," WALL L x 11 Foo`rias