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2003, 09-03 Permit App: BLD-03-02371 Pole Bldg09/02/03 14:03 21909 927 4062 810164(211116.1re" SPO. STRUCTURES fit 002/005 D5-232( 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)6884037 REQUIREDRMATION STREET ADDRESS: / /5 Al Af'Vovlata'' 2d. / 5 a/cam j 992.(G ASSESSOR'S TAX PARCEL NUMBER($): 4157 /37.3 - 7lo a LEGAL DISCRIPTION: PERMIT DESCRIPTION: /24.571- flea y,/e. (qui /d//r., S'BIJIT.DING PERMIT • 0 CHANGE IN USE 0 GRADING QRELOCATION Ea SIGN CI -TENANT O MANUFACTURED HOME MOTHER. II OWNER / APPLICANT INFORMATION 11 El/OWNER: PHONE: h tc'a d lfcv744.4/4 927^ BZ Yf ''- ADDRESS: 117 Al. Pl c//�� 6126.4 5 A CITY,S ATE, ZIP Itr CONTRACTOR: 5,644110, - Shiv Vve.c • G 1] PHONE: 5n9- 927-0655-FAx•Sol- 927- Yoco2_ ADDRESS: CITY, STATE, ZIP III/APPLICANT: ?G IGl &t2 9274-42441c1,4L tC . PHONE: So9 t27-bLfr FAX• St'..nn -927'Y04.Z- ADDRESS: 5/t3 41. G14.114r q SIOD 4-e CITY, S ATE, ZIP ARCHITECT PHONE: FAX: ADDRESS. CITY, STATE, ZIP WA ST CONTRACTOR LICENSE S CONTACT: COST OF PROJECT: BUILDING HEIGHT TO PEAK: IS BUILDING DIMENSIONS:301 CD ¥LO NUMBER OF STORIES: I NUMBER of BEDROOMS: FLANKING SETBACK: FRONT SETBACK; REAR SETBACK: LEFT SETBACK: RIGHT SETBACK; AUG 30 2003 15:09 30% SLOPES ON PROPERTY: OCCUPANCY GROUP:. CONSTRUCTION TYPE: ilk FV4.€ yq STRUCTURES ON PROPERTY: CRITICAL AREAS: CURRENT PROPERTY SIZE: CURRENT PROPERTY USE: CURRENT SEPTIC USE: CURRENT WELL USE' IMPERVIOUS SURFACE AREA: MAIN FLOOR SQ FT: 2Na FLOOR SQ FT UNFIN BASEMENT: FINISHED BASEMENT: GARAGE: COVERED DECK: DECK: 509 927 4062 PRGE.02 170 09/02/03 14:04 2Y509 927 4062 SPO.STRUCTURES • &--ASPOKANE TRUCTURES, INC. /L Pollokka a 003/005 Ps DeatOJ - flDP%t1b►JWI- Slit ttcrt.Lt S CA-w130m tXCEEP aW S�. -\- . /1 /74'p Iid e `ice`'°?' 7 36' 3yf DUi //r // /*cc des a taf+ / /1-7-` PSS/ / f/6 2-- 510 N. MULLAN RD. • SPOKANE, WA99206 • (509) 927-0655 TOLL FREE - 1-800-735-6347 FAX (509) 927-4062 www snnkanoctri RUG 30 2003 15:10 509 927 4062 PRGE.03