2003, 07-23 Permit App: BD -03-837 ShedSikiane
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUN/TY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS:
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMIT DESCRIPTION:
BUILDING PERMIT
RELOCATION
0 CHANGE IN USE 0 GRADING 0 MANUFACTURED HOME
0 OTHER
0 SIGN 0 TENANT
OWNER / APPLICANT INFORMATION
OWNER: ; /21It i-�U
OWNER: , l2 i t r_ 4- LU.e'-�
0
PHONE: 37-i ` 1 /FAX:
ADDRESS: E 0-- 5• '/z V'c
CONTRACTOR:
PHONE:
ADDRESS:
CITY, STATE, ZIP
CITY,STATE, ZIP
® APPLICANT:
PHONE: S `i )l5 -c/ FAX:
ADDRESS: (-O i 2- 5
® ARCHITECT:
FAX: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE #
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: /, 00‘)
BUILDING HEIGHT TO PEAK: I.
BUILDING DIMENSIONS: i2 ?X I
NUMBER OF STORIES:
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
c
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT:
2N0 FLOOR SQ FT:
UNFIN BASEMENT:
FINISHED BASEMENT:
GARAGE:
COVERED DECK:
DECK:
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** TOTAL PRGE.02 **
509 324 3603 PAGE.02
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