2003, 09-22 Permit App: BLD-03-02523 Egress Window FROM : ALPINE CONSTRUCTION FAX NO. : 5094485504 Sep. 17 2003 07:50AM P1
She 2s-`?3
jValley PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT l S
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: 1 l7 2 2 C s V 1 p A ItR'
ASSESSOR'S TAX PARCEL. NUMBER(S):
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: G ♦ , t 4 v
$I3H.DING PERMIT 0 CHANGE IN USE 0 GRADING 0 MANUFACTURED HOME
[RELOCATION SIGN ETENANT ]OTHER
OWNER /APPLICANT.._.__.._. .-.--
INFORMATION
1 OWNER1 fir APPLICANT:
PHONE: 1�2`y 1/63 FAX PHONE: FAX
ADDRESS:+ 20 22- v J 44/ A ADDRESS:
CITY,STATE,ZIP C1Ty,STATE,ZIP
CONTRACTOR: 4 4-p. ! ARCHITECT:
PHONE:title`4 FAX; ua:'�---CC)nV� PHONE: FAX:
ADDRESS: 4�I'j E C1 JN1 Q' / r2` ADDRESS; CITY,STATE,ZIP
S �• q z2� CITY,STATE,ZIP I '
WA ST CONTRACTOR UCENSE I /.3 4�/✓J 64+4/CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: /, 7 7 9. OC 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT:
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP: 2N0 FLOOR SQ FT
BUILDING DIMENSIONS: CONSTRUCTION TYPE:_ UNFIN BASEMENT: _
NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT:,_,
NUMBER of BEDROOMS: CRITICAL AREAS: GARAGE:
FLANKING SETBACK: CURRENT PROPERTY SIZE: COVERED DECK:
FRONT SETBACK: CURRENT PROPERTY USE: DECK:
REAR SETBACK: . CURRENT SEPTIC USE:
LEFT SETBACK: CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
Gc,€ ( 17 4 q CBrt ole 7/1710 I A-!
SEP 14 2003 07:57 5094485504 PAGE.01