2005, 07-08 Permit App: 05002324 Reroof FROM : ALPINE CONSTRUCTION FAX NO. : 5094485504 Jun. 28 2005 11:09AM P1
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PERMIT APPLICATION LICA ION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION 1
99707 East Sprague Ave Ste 106 ( ')
Spokane Valley, WA 99206
Phone:1509)688-0036 Fax:(509)688-0037_
REQUIRED SITE INFORMATION
STREET ADDRESS: ` ` 002. E
ASSESSOR'S TAX PARCEL NUMBER($)
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: fl e-P-4,• I`
ZEUILDZIG PERMIT 0 CHANGE IN USE a GRADING a MANUFACTURED HOME
QRELOCATION SIGN LITENANIT CI-OTHER
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_ OWNER / APPLICANT INFORMATION
OWNER: M 0 R..`a o APPLICANT:
PHONE: FAX: PHONE: FAX:
ADDRESS: ADDRESS:
CITY,STATE,ZIP CITY,STATE,ZIP
a CONTRACTOR: P" " 04-.>t'M1">C'�O °
- ARCHITECT:
PHONE:U 4$'g°9 g FAX; '44 5' &-S-131 PHONE: FAX:
ADDRESS: :I e G Le1A-*/I.E '4'4 191Z3 ADDRESS;
CITY,STATE,ZIP CITY,STATE,ZIP
WAST CONTRACTOR LICENSE/ALP OS S"s) " CONTACT: A' ` fl-APP"
1 PERMIT/BUILDINGiNFORMATION mimm.m.71
COST OF PROJECT: c 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT:
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP:. 2N3 FLOOR SQ F7;
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:
JUN 28 2005 11:07 5094485504 PAGE.01