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2004, 01-09 Permit App: BLD-04-03391 RemodelPERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 Phone: (509)688-0036 Fax: (509)688-0037 REQUIRED SITE INFORMATION L L STREET ADDRESS: J'9 I S L'finerii P ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: PERMIT DESCRIPTION: BUILDING PERMIT CI CHANGE IN USE 0 GRADING ® RELOCATION 0 SIGN Q TENANT c_ O MANUFACTURED HOME Y'L OTHER OWNER / APPLICANT INFORMATION OWNER: ZL <4,4 CIf PHONE: (5' O' j 22 % &FAX: PHONE: FAX: ADDRESS: M/S-- S. L'^'•AP'Lk L rVemaa1eL)4 ADDRESS: C'ITY,STATE, ZIP ®CONTRACTOR: APPLICANT: PHONE: ® ARCHITECT: CITY, STATE, ZIP FAX: PHONE: FAX: ADDRESS: ADDRESS: CITY, STATE, ZIP CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: BUILDING HEIGHT TO PEAK: BUILDING DIMENSIONS: NUMBER OF STORIES: NUMBER of BEDROOMS: FLANKING SETBACK: FRONT SETBACK: REAR SETBACK: LEFT SETBACK: RIGHT SETBACK: 30% SLOPES ON PROPERTY: OCCUPANCY GROUP: CONSTRUCTION TYPE: STRUCTURES ON PROPERTY: CRITICAL AREAS: MAIN FLOOR SQ FT: 2N0 FLOOR SQ FT: UNFIN BASEMENT: /82 0 FINISHED BASEMENT: GARAGE: CURRENT PROPERTY SIZE: COVERED DECK: CURRENT PROPERTY USE: DECK: CURRENT SEPTIC USE: CURRENT WELL USE: IMPERVIOUS SURFACE AREA: 1 Ate,;ed SN,vkct IS2 s,u°`'ce' 4' ,tka;"'D , Fro4,44 S 1,,Aa IL 2_`,oskl ¢c... 3. 5A.. .., orc/ S495 piae''^"' k OR CODE COMPLIANCE ALLEY BI•JiL©ING DMSION m ca P 5' cn � z0 cn cn n 0 3 v c w o' z ai a