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2003, 08-15 Permit App: BLD-03-02244 Egress Windows asizo), C .)-21-tY ofitatyjr *ante r .,,,,onaJ PERMIT APPLICATION WORK SHEET SPOKANE VALLEY commuNfTYDEV,irLOPMEN- BUILDING'DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, WA 99206 remammowsetemmilPhone (509 6 0036 Far J509 37 REQUIRED SITE INFORMATION STREET ADDRESS: ! / v / . A f. S/2 /I_ //," ASSESSOR'S TAX PARCEL NUMBER(S): LEGAL DISCRIPTION: PERMIT DESCRIPTION: .i(21,Ii a4 7 `` :e Gv i h_e.e ,,,E‘ju,DDIG-Phi' a CHANGE TN USE CI GRADING U MANUFACTURED HOME ORRLOCATION osiGN DTENANT -O OWNER I APPLICANT INFORMATION D OWNEW ,`'12(" , _ 7 bq U 113 APPLICANT: q � -7 �r� G I PHONE: 61 O i7 3 �/ FAx, PHONE: FAX: ADDRESS: ADDRESS: ,,�� CITY,STATE,ZIP • CITY,STATE,ZIP 4 1,JO jell i 1012 f a ARCHITECT:: PHONE: ga)! ,-�� L.. EAX: 7 fa_. FAX PHONE: FA ADDRESS: f6)(9/I . SAlia e v e J(•r'vl 4'4°4 ADDRESS: - oj� �JCITYI STATE,ZIP /� CITY,STATE,ZIP WA Sr CONTRACTOR LICENSE#!_�, �,�GI CyGf 7 CTI CONTACT: limienumummor van j PERMIT/BUILDING INFORMATION COST OF PROJECT: S MC/ 30%SLOPES ON PROPERTY MAIN FLOOR SQ FT; BUILDING HEIGHT TO PEAK: 6C CUPANCY GROUP: 2140 FLOOR SQ FT: BUILDING DIMENSIONS: CONSTRUCTION TYPE:. UNFIN BASEMENT; NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT: NUMBER of BEDROOMS: ' CRITICAL AREAS: • _ GARAGE: ' DATE: AfkTNptl[?PPAYIIO€NT.13 gi _._._ 0 Y' a vernal CASH CHECK ' BAVKCARD it _ XP/RES; VINO AUTHORIZED 8It NATURE•