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2003, 09-26 Permit App: BLD-03-02604 Storage BldgMOP 0•PreN., 1YValley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BU/LD/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: / /tg #CY t J HO/ ASSESSOR'S TAX PARCEL NUMBER(S): '174577/- 0902. /- r� LEGAL DISCRIPTION: O T k)W P'D F B5.�j'. Lt) �2 or 57/ C� C �(� W go - Ex C S' 33 8 Y b PERMIT DESCRIPTION: SWIMMING PERMIT D CHANGE IN USE a GRADING EIRELOCATION 0 -SIGN U TENANT •13.IVIANUFACTURED HOME p -DIMER OWNER / APPLICANT INFORMATION ® OWNER: 1--e /I A77--- ® APPLICANT: 3"—c., F/ N Ccc PHONE: CiPW) - g.776/ FAX: PHONE: 924 ` L5 -s-7 FAX: ADDRESS: ((DS N /-k--R,9-Lb Rd, ADDRESS:' - I/UI DR,'JEJa. R /357 ,4,5)1., CITY,STATE, ZIP CITY, STATE, ZIP ®CONTRACTOR: COOK 3j�p$ , &)Arikeit.767111 ARCHITECT: PHONE: ?.?<-1- /56'7 7 FAX: PHONE: FAX: ADDRESS: 40 - M/(DL--=/7 i UES ( L ©ST15.1[(! I'D ADDRESS: CITY,. STATE, ZIP 8.38S`4 CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # ckTL CONTACT: TO /7/1 eGZ)/� PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: /7 BUILDING DIMENSIONS: 40 K&7' 30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: OCCUPANCY GROUP 2ND FLOOR SQ FT: CONSTRUCTION TYPE: POO NUMBER OF STORIES: % STRUCTURES ON PROPERTY: NUMBER of BEDROOMS: CRITICAL AREAS: FLANKING SETBACK: CURRENT PROPERTY SIZE: FRONT SETBACK: CURRENT PROPERTY USE: / p, 71././ 4'k REAR SETBACK: CURRENT SEPTIC USE: LEFT SETBACK: CURRENT WELL USE: RIGHT SETBACK: IMPERVIOUS SURFACE AREA: UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: COVERED DECK: DECK: Sep 25 2003 8 23AM HP LASERJET 3200 41,4 p.1 OROANizATIONN. NoEY =DE FAR -E4. * 4/6/7/,091,2- I 5J7/,0942 � � W2a,r feXC S3B