2003, 07-31 Permit App: BLD-03-02110 Addition Sin
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i 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
I REQUIRED SITE INFORMATION
STREET ADDRESS: I -1-109 e . 6./1- 4?:
ASSESSOR'S TAX PARCEL NUMBER(S): S3-7 j 2__ . 2 I o
LEGAL DISCRIPTION: LCJ 7 ,- 42-t S ft OQ`t7 1 L� VG i 24 Ip
PERMIT DESCRIPTION: sr)0to j ) 17- 131 orr &,1-cK. or 6 4gp-Ge
jaBUILDING PERMIT 0 CHANGE IN USE ID GRADING 0 MANUFACTURED HOME
Q RELOCATION C SIGN Q TENANT DOTTIER
OWNER / APPLICANT INFORMATION
.OWNER: T-0-110 L-AKAA,C
® APPLICANT:
PHONE: 1.. 91- 0 21 ZFAX: PHONE: FAX:
ADDRESS: 1116 c( E �44--, y/pyAp.cre, vok 576(6 ADDRESS:
CITY,STATE,ZIP CITY,STATE,ZIP
CONTRACTOR: Ts c i4GT 1 A70
`� ARCHITECT:
Cin✓I `� FAX: PHONE: FAX:
ADDRESS: r O 6cf)e 612 G r‘e:2f f C-rp„S W4- ' OI ADDRESS:
CITY,STATE,ZIP CITY,STATE,ZIP
WA ST CONTRACTOR LICENSE# K6 Co]'J x 0/I/94Y\ CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: (0 tis30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT: 17
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP: 2ND FLOOR SQ FT:
BUILDING DIMENSIONS: I M/XIV CONSTRUCTION TYPE: wJthh 0-9-rAt UNFIN BASEMENT:
NUMBER OF STORIES: I STRUCTURES ON PROPERTY: 02 FINISHED BASEMENT: --t"---
NUMBER of BEDROOMS: --Q' CRITICAL AREAS: GARAGE:
FLANKING SETBACK: CURRENT PROPERTY SIZE: t I x 32D COVERED DECK:
FRONT SETBACK: /0 I CURRENT PROPERTY USE: (^ -- DECK: �—
J
REAR SETBACK: g CURRENT SEPTIC USE: yes
LEFT SETBACK: (moo 1 CURRENT WELL USE:
RIGHT SETBACK: 1 0 < IMPERVIOUS SURFACE AREA:
MANUFACTURED HOME SIGN I
WIDTH: LENGTH: SQ FT OF SIGN: HEIGHT OF SIGN:
YEAR: PIT SET: #OF SIGNS: AREA OF EXIST SIGN:
MANUFACTURER: TYPE OF SIGN:
IRELOCATION FIRE SAFETY
PREVIOUS ADDRESS: FIRE SPRINKLER: FIRE ALARM:
PAINT BOOTH: TENT:
PROPOSED USE: FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
I WA STATE NON-RESIDENTIAL ENERGY CODE
i
PLANS EXAMINER: PHONE: FAX:_
ADDRESS:
CITY,STATE,ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY,STATE,ZIP
SPECIAL INSPECTIONS
® BOLTING °CONCRETE 0 REINFORCEMENT 0 WELDING
FIRM NAME: PHONE: FAX:
INSPECTOR(S):
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: ® YES 0 NO IF YES: ® COUNTY 0 CITY
IS PUBLIC WATER AVAILABLE: ® YES 0 NO IF YES,WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: 0 YES ® NO PSSA: 0 YES 0 NO
I DATE: t STAFF: I
-
METHOD OF PAYMENT:
T
® 0 1111111111=1111
CASH a CHECK ® cast} .3
VISA
BANKCARD#; EXPIRES: VIN#
AUTHORIZED SIGNATURE: -
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
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