2005, 04-20 Permit App: 05001227 Demo Residence Apr 06 2005 1 : 29PM Rob 's Demolition 509-534-9404 p• 1
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PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT till 0 d
OWL DING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, Wq 99206
Phone; 509)688-0036 Fax: 509)688-0037
REQUIRED SITE INFORMATION
STREET ADDRESS: 3 0&/ 3 /
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMIT DESCRIPTION.: )cW z I t s Ga hQ,U
QSUILD1NG PERMIT • 0 CHANGE IN USE 0.GRADING 0 MANUFACTURED SOME
['RELOCATION Q SIGN- 0 TENANT ,DTRER
OWNER / APPLICANT INFORMATION
OWNER: _ 0 APPLICANTt SQA GONMOC- 2- /�Ijv
PHONE; FAX: PHONE: FAX:
ADDRESS: ' • ADDRESS:
CITY,STATE,ZIP CITY,STATE,ZIP
CONTRACTOR:?042`SeferW C31 ihcsr.1 -T-Hc . Q ARCHITECT:
PHONE: S 4 -ac Q FAX:5-64--g 4 d 1 PHONE FAX:
ADDRESS: 842,0 • VAI PAII1C D LtUt ADDRESS:
Sp..*c,...,Gt LA-� a�I ,,STATE,ZIP CITY,STATE,ZIP
WA ST CONTRACTOR UCENSE i F-313s P 0 1q}C) a CONTACT:
PERMIT/BUILDING INFORMATION It
COST OF PROJECT: - 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT:
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP;. VP FLOOR SC FT:
BUILDING DIMENSIONS: CONSTRUCTION TYPE: UNFIN BASEMENT:
NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT:
NUMBER of BEOROOMS: CRITICAL AREAS:_ GARAGE:
TATE: STAFF: f
METHOQ FFPA YME '
This document originally contained
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APR 06 2005 13:39 509 534 9404 PAGE.01