2004, 06-24 Permit App: BLD-04-04708 Pole Bldg 06/24u/0v44 is2::442.091 t.„$509rr[ 927 4062 SPO.STRUCTURES
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SFolane
jVaIley.. . PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 Feet Sprague Ave Ste 106
Spokane Valley, WA 99206..,
. Phone:(509)688:0036 Fax:(609)688-003? .
• - REQUIRED SITE IIcIFORMATfONI
STREET ADDRESS: to(.o p S P o t.C.e 0.2.
ASSESSOR'S TAX PARCEL NLIMBER(Sk 54L Li 3 . o7....2 a
LEGAL INSCRIPTION: •
• PERMrr-DEBERIPTION: • • , -- - • . •
•
G.F • pr ANGEIN ZTSE .:ti.GitADOLG ,CIACZVRED ROME
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• • ' - OWNER /APPLICANT INFORMATION '
OtOWNER S-e.0• - 1 Gtv►n.L.a_w. APPLICANT: ?ct..c-e4•,---e- S-let-c.-�+U V C.S'•Twp.•
PHONE rj'35 CA 0'4 FAX: • ,PHONE: c . ^I^06S5 FAX: c't2-1-14to 2
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ADDRESS: Lr(-.20 .E. L 1 $ 42-
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17Y,S1'ATE,ZIP CITY,STATE,ZIP
•TRACTOR: Cja,w•—'- 0.S x'1019•1:LG,ah.*- •' 13'ARCHITECT:
PHONE: FAX PHONE FAX:.
ADDRESS:. ADDRESS:
CITY,.STATE ZIP • CITY,STATE.ZIP
WA ST CONTRACTVR LICENSE I • CONTACT; .
PERMIT/BUILDING INFORMATION. . .
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COST OF PROJECT: 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT:
BUILDING HEIGHT TO PEAK: 14 I OCCUPANCY GROUP,. 2,10 FLOOR SOFT:. •
BUILDING DIMENSIONS:2664 24. X lo`CONSTRUCTION TYPE; UNFIN BASEMENT: •
''NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT
NUMBER of BEDROOMS: CRITICAL AREAS: •___ • • • • _ GARAGE
FLANKING SETBACK: 'cURREN3 PROPERTY SIZE- - '; COVERED DECK
S
' FRONT SETBACK; CURRENT PROPERTY USE: DECK:
REAR SETBACK; CURRENT SEPTIC USE: '
LEFT SETBACK: • CURRENT WELL USE; -
•
RIGHT SETBACK: IMPERVIOUS SURFACE AREAL_ '
JUN 24 2004 10:43 509 927 4062 PAGE.02
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T - � This We pion is being, submitted for the purpose of
obtaining a building psnalt and is a taus and correct
representation of the proposal. Ail known property
lines/dimensions,curb inns,slnlsMras and:MMhanMe
have been identified. Also MOWN arc waMan ds.
bodies of water. stoop slopes or SMisr sacs.
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0 X11;4 �� ' �1 This site plan is being submitted for the of
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obtaining a building permit and,is a true and correct
0 representation of the proposal. AN known property
lines/dimensions,curb lines,structures and easements
}'�,� i -` have been identified. Alsb indicated an wetlands,
i Q bodies of water, steep slopes a other critical areas./
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�� Signed; 1., ...04/7-e..4 ��,FCZ,e---roc_/
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