HomeMy WebLinkAbout2004, 09-08 Permit App: BLD-04-07580 PoolSpMime
so•lValley
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:
,1r968/ f o c ?Wine,lL9 fl7OP
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: ./ . i S MC ° ea°
❑ Building Permit ❑ in Use Change
❑ Relocation g 0 Grading 0 Manufactured Home
❑ Tenant Improvement ❑ Fire Safety 154 OtherFp0(
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OWNER/APPLICANT INFORMATION
❑ Owner: /h i f -e . '4- I I nd ri. 14.y 0 Applicant: 2 I n(/a., fayPhone: 9.qTory Fax: / Phone: 942- 2UY Fax:
Address: N/.. 220 R' k o co St- • - Address: iv- 22of Ao r,a Sf
.En,(nne, wg. . . 99 2o6, - 5;crixade, 1A/4-9%-'ob
City State Zip Code City' / . State Zip Code
0 Contractor •0 Architect: (�
Phone: Fax: Phone: Fax:
Address: Address:
City State Zip Code City • State . Zip Code
WA State Contractor License #:
Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ: FTG: •
r FLOOR SQ: FTG: --
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ: FTG:
DECKICOV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:'
�,�00 O, a�-
30%SLOPES ON PROPERTY:
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