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2005, 07-08 Permit App: 05002324 Reroof FROM : ALPINE CONSTRUCTION FAX NO. : 5094485504 Jun. 28 2005 11:09AM P1 urs 0C� d�; Valle 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($) LEGAL DISCRIPTION: PERMIT DESCRIPTION: fl e-P-4,• I` ZEUILDZIG PERMIT 0 CHANGE IN USE a GRADING a MANUFACTURED HOME QRELOCATION SIGN LITENANIT CI-OTHER �r _ OWNER / APPLICANT INFORMATION OWNER: M 0 R..`a o APPLICANT: PHONE: FAX: PHONE: FAX: ADDRESS: ADDRESS: CITY,STATE,ZIP CITY,STATE,ZIP a CONTRACTOR: P" " 04-.>t'M1">C'�O ° - ARCHITECT: PHONE:U 4$'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