2004, 07-23 Permit App: BLD-04-07165 Garage AdditionSPoxA COU Y
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
da j ZS
Assessor's Tax Parcel Number(s):
Legal Description:
�.�5a61"D. b.4"7
Project Description:
Ad'J //or -
Cd Building Permit
0 Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor -
Road width
Setbacks
Front Rear
Left Right:
School District
Fire District
Zoning
OWNER/APPLICANT INFORMATION
Ei Indicate who rbould be ronlacted repardinp Ibis Drvie�t
❑ Owner. Phone:
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JArr v. I t 01,-,,,,, Fac:
Building height to peak
/
0 Applicant:
Phone
Fa_c:
Mailing Add ss: /
G �. /4/04 P.J.
Dimensions
? 3-0
Mailing Address:
2'"F floor sq. ft.
City, State, Zip /�
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t�City,
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State, Zip
Garage sq. ft.
0 ContractorntraPhone
itom'<A/t' Pi2_'je'YJ1-�, Fax
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0 \rchnect-E:ng,inccr
Phone
Fax
Mailing address
6/// S. /:i(e, ig, 5.e,
Mailing address
City, State Zip
6f....e,e., n. n <;t—ii./A'
990/‘
City, State Zip
WA State Contractor License #
2,i,2�4./r Ic 00 i 6/
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
/
# of stories
i
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
? 3-0
Total habitable space
2'"F floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
bleat source (electric, gas, etc.)
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