2004, 02-23 Permit App: BLD-04-03594 Garage AdditionaotrniMilley
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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
STREET ADDRESS.
ASSESSOR'S TAX PARCEL NUMBER(S):-- YS'/ 7 ? . /6 /y is p Code t O / y.'
LEGALDISCRIPTION: Opportui.LL y Pro? 8143 Slao FT n -P N'.?SOFT ni W /7 its.SS Rc
REQUIRED SITE INFORMATION
/ ny 44, Zoete sr
PERMIT DESCRIPTION:
tsQckr ayP r90 x 3a- COA0.0e aS
0
® MANUFACTURED HOME
®OTHER
_'. BUILDING PERMIT 0 CHANGE IN USE 0 GRADING
®RELOCATION QSIGN ®TENANT
OWNER / APPLICANT INFORMATION
OWNER: RICttQVU t.
PHONE Sd9 -?Zf/ 62? FAX: /� /�
ADDRESS: /69 42 Locust-koenY
CITY,STATE, ZIP
CONTRACTOR:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE #
APPLICANT:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
ARCHITECT:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK: /3
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:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT:
2N0 FLOOR SQ FT:
UNFIN BASEMENT:
FINISHED BASEMENT:
GARAGE:
COVERED DECK:
DECK:
130'
.20
Scale l a-.20
fipiwor
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Sita,n
lett.
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