2004, 10-20 Permit App: BLD-04-07978 ReroofFROM : ALPINE CONSTRUCTION FRX NO. : 509441:15504
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUN/TY DEVELOPMENT
BUILDING DIVISION
11707East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: 509 688-0036 Fax: 509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
Bis
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMITDESCRIPTION,: 1 tr'- npF
UrLD1NG.PERMXT DcRANGE IN USE • .0 GRADING
EIRET,OCATION EtSIGN • E} TENANT
C} OWNER: �tT'1` n -S a
MA:NYJFACI^UREA HOME
® OTHER •
OWNER / APPLICANT INFORMATION
,4Jop A
PHONE: FAX:
ADDRESS:
CITY,STATE, ZIP
CONTRACTOR:A'LP 1/Ott
PHONE:4'q ' 50419
C04)5TPUCT&o4.1
FAX. 4S• SSo�/
ADDRESS:4411 E C� llY�/v/►�A fc
APPLICANT:
PHONE: FAX
ADDRESS:
® ARCHITECT-
olt- Sp Lh ' V )
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE it A' Al C4. 0 es A -A. N
PHONE:
CITY, STATE, ZIP
FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT: W14-2' a
R,a P P k
PERMIT/BUILDING INFORMATION
COST OF PROJECT: Z40ZS
BUILDING HEIGHT TO PEAK;
BUILDING DIMENSIONS:
NUMBER OF STORIES:
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
OCT 19 2004 10:59
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP: 2N0 FLOOR SQ FT
CONSTRUCTION TYPE'
STRUCTURES ON PROPERTY: FINISHED BASEMENT:
CRITICAL AREAS: GARAGE:
CURRENT, PROPERTY SIZE: COVERED DECK:
CURRENT PROPERTY USE: DECK:
MAIN FLOOR SQ FT:
UNPIN BASEMENT:
CURRENT SEPTIC USE:
CURRENT WELL USE;
IMPERVIOUS SURFACE AREA:
5094485504 PAGE.01