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2004, 01-26 Permit App: BLD-04-03451 Garage 41101°iv Nook k // / Spokane \ Valley PERMIT 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 STREET ADDRESS: 390c 5 S kipwor'l CA. ASSESSOR'S TAX PARCEL NUMBER(S): tic 2 j LEGAL DISCRIPTION: PERMIT DESCRIPTION: -3(e `� Gict rrc .12 ra ITI .DII`TG PERNIIT a CHANGE I N USE I]GRADING a MANUFACTURED ROME 0-RELOCATION 0-SIGN 0-TENANT DOfnI R OWNER / APPLICANT INFORMATION i ® OWNER: K-oj'-. 0 APPLICANT: PHONE:CSp°I,q$q I -i-toy) FAX: PHONE: FAX: ADDRESS: 3 bOS 5 ILirkb("I'1.. .Ser-L-.e WA,"KA ADDRESS: CIT'Y,STATE�',ZIP - CITY,STATE,ZIP ® v cudC4J CONTRACTOR: Iot,J � , 3Ji Lie's ® ARCHITECT: PHONE(5-r)e6 53C-)t b L JFAX: PHONE: FAX: J ADDRESS: 518 E //e. c 4 &i4 quiz ADDRESS: CITY,.STATE,ZIP CITY,STATE,ZIP WA ST CONTRACTOR LICENSE# IO&KGB, la3C.(o CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: 30%SLOPES ON PROPERTY: h D MAIN FLOOR SQ FT: I 7)8 BUILDING HEIGHT TO PEAK:aJ'Ia' OCCUPANCY GROUP: nn 2ND FLOOR SQ FT:- BUILDING DIMENSIONS: 3(n`4 X4 ' CONSTRUCTION TYPE: POS" -P c.,.,.Q UNFIN BASEMENT: NUMBER OF STORIES: STRUCTURES ON PROPERTY: ( FINISHED BASEMENT: NUMBER of BEDROOMS: — CRITICAL AREAS: GARAGE: FLANKING SETBACK: I( CURRENT PROPERTY SIZE: COVERED DECK: FRONT SETBACK: CURRENT PROPERTY USE: DECK: REAR SETBACK: CURRENT SEPTIC USE: She LEFT SETBACK: CURRENT WELL USE: RIGHT SETBACK: IMPERVIOUS SURFACE AREA: prG TtiL153-;D,?�SC1S -Rtc.,k lk-o-c-k ‹- 3oL-- , ki`owo C4-, • • • • arc io 4 e S1to tI be. !e.-tet."-1 • 1 4._. I • • 4 _ .. c _..... • . . . . : . i i , , , , . , . . _ . . , : . . . . ; , I ...„-- , : . . , , ; . . , : . . . , „ ,, . . , 1.� , • ., ,• . : . , . . , . , . , . . , . . . , , . , I , .----- 7r- 1 , , • , ,.. . „ , , , ... : -„1A-. L„ .b) , . , ; e.....„ 1,,-..____ ,‘,,,:_,.., ,•...,e.,;,114e, .1,,,4 . . . : , . , • 1 . • •. .. , ,, . Q , ; ___ . . . ._ .: . , u,c),e,t,. ),it,...),,„,41,..,71 . _ , , v,,cr,„ . . ., ., ., . .. . J. 904)1447; . . . ., i,,, . .. .. . .; .• , .; . , . . . . ... ., . ,,!....._ ,,, ir....,64„.,s i .„_ , ..;.;. -7 7 ''' -- --1-. ...' . • • • • •. 41--. APPROVED BY ty a