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2004, 05-28 Permit App: BLD-04-04466 Garage . .0v N... F-2/o *lime .1'` alley 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: //oil`l J • 57a-Zi C T. ASSESSOR'S TAX PARCEL NUMBER(S): 11,5-2-214 ?/33 LEGAL DISCRIPTION: //ay S • 57 i G7; L-3 3'Z SHE-icy / y PERMIT DESCRIPTION: i)e7(-0.cji,p i- ®DU)„DING PERMIT 13-CHANGE IN USE 0 GRADING a I UF'ACTURED HOME 0-RELOCATION ®-SIGN 0-TENANT 0-OTHER OWNER / APPLICANT INFORMATION ® OWNER: fNI/L Lf W/,5' ® APPLICANT: PHONE: 579f-f2-2-^Z737 FAX: PHONE: FAX: 91103 ADDRESS: //Of $ ST-t "i CK T.� S •VAtt girtgirt, ADDRESS: ITY,STATE, 1P - CITY,STATE,ZIP °CONTRACTOR: 7 WM t 6V47 vVi //tI OZ5 ARCHITECT: PHONE:/'cir Q0/4,,,,, � FAX: �/ PHONE: FAX: ADDRESS: 6/t. •meat' 5;24/[.V4Ud4 JyZ/Z/ ADDRESS: CITV,.STATE,ZIP CITY,STATE,ZIP to WA ST CONTRACTOR LICENSE# �u/4C3i/0547 CONTACT: PERMIT/BUILDING INFORMATION COST OF PROJECT: 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT: M BUILDING HEIGHT TO PEAK: IC-I-61 OCCUPANCY GROUP: v 1 2ND FLOOR SQ FT:- — BUILDING DIMENSIONS: X CONSTRUCTION TYPE: f0$T F 4rii UNFIN BASEMENT: NUMBER OF STORIES: ( STRUCTURES ON PROPERTY: / FINISHED BASEMENT: NUMBER of BEDROOMS: CRITICAL AREAS: GARAGE: FLANKING SETBACK: CURRENT PROPERTY SIZE: / ,-CiZC COVERED DECK: FRONT SETBACK: CURRENT PROPERTY USE: 5/f 'G4 DECK: REAR SETBACK: CURRENT SEPTIC USE: LEFT SETBACK: CURRENT WELL USE: RIGHT SETBACK: IMPERVIOUS SURFACE AREA: L 1