2004, 03-25 Permit App: BLD-04-03903 Porch RoofSpokane
Valley
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
Street Address: I3 CjCS7 4 l4EPZO `1
Assessor's Tax Parcel Number(s): g503 1 3 90 2—
Legal Description: 6XQ)1ti0KC4 S U) IS L 2_
PERMIT DESCRIPTION: U en, Po rte✓
Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Tenant Improvement ❑ Fire Safety
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
twr•
Owner: Mike_ fOKS%E7Z_—
Phone: 704 o Y9Fax:
Address: (3 ya 3 E -1.181/o .e
afiric,fit-- 44 -
State i Code 1" City
❑ Contractor: ❑ Architect:
Phone: Fax: Phone: Fax:
Address: Address:
❑ Applicant:
Phone:
Address:
Fax:
State Zip Code
city
State Zip Code
WA State Contractor License #:
City
Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:.I
fa 1- ----
DIMENSIONS: t it
II -01X Io'er +-
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" 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:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
: ADDRESS 1840)3' -- i+er
•ZONE L{ 2 -- -"
ROAi? WI•
FRONT
COMME
REVIEWED
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This sale OMR Is being submitted for ale purpose of
obtaining a building permit and is a true and correct
representation of the propose,. M3 known --property
lloeW&i enslons, curb lines, strucMies and easements
'have'.bean identified. rasp indicated ere wetlands.
• bridles dsteep . -.: or other critical areas.
Signsw air dpi iimpr
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