HomeMy WebLinkAbout2004, 11-29 Permit App: 04009214 GaragePERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITYDEVELOPMENT
BUILDINGDIVISION
11707East Sprague Ave Ste 106
Spokane Valley, WA 99206
% REQUIRED SITE INFORMATION
STREETADDRESS:
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMtTDESCRIPTION:
'dBUILDING PERAHT OCHANGE INUSE O GRADING E3 MANUFACTURED HOME
ORELOCATION OSIGN []TENANT [}OTHER
OWNER / APPLICANT INFORMATION
�OWNER: f �%��Z� �Cc��c�iL. 13 APPLICANT:
PHONE: FA%:
PHONE:
ADDRESS: 7yOL E ��/�
CITY,STATE, ZIP ADDRESS:
E3 ADDRESS
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STATE, ZIP
ADDRESS: ADDRESS:
CITY, STATE, ZIP CITY, STATE, ZIP
WA ST CONTRACTOR LICENSE it CONTACT:
IE PERMIT/BUILDING INFORMATION
COSTOFPROJECT: 600'1
BUILDING HEIGHT TO PEAK:_
BUILDING DIMENSIONS:
NUMBER OF STORIES:
NUMBER Of BEDROOMS: 0
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFTSETBACK:
RIGHT SETBACK:
30%SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY:
CRITI CAL AREAS:
CURRENT PROPERTY SIZE:
CURRENT PROPERTY USE: -
CURRENT SEPTIC USE:
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:
MAIN FLOOR SO FT:
24- FLOOR SO FT:
UNFIN BASEMENT:
FINISHED BASEMENT:
COVERED DECK:
MANUFACTURED HOME SIGN
WIDTH: LENGTH:
YEAR: PIT SET:
MANUFACTURER:
SQ FT OF SIGN:
%OFSIGNS:
TYPE OF SIGN:
HEIGHT OF SIGN:
AREA OF EXIST SIGN:
RELOCATION FIRE SAFETY
PREVIOUS ADDRESS:
FIRE SPRINKLER:
FIRE ALARM:
PAINT BOOTH:
TENT:
PROPOSED USE:
FIREWORKS DISPLAY:
BLASTING:
DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER: PHONE:
FAX:
ADDRESS:
CITY, STATE, ZIP
CITY, STATE, ZIP
SPECIAL INSPECTIONS
❑ BOLTING ❑CONCRETE ❑ REINFORCEMENT ❑ WELDING
FIRM
BUILDING STAFF USE ONLY
IS PUBLIC SEWER AVAILABLE: ❑ YES ❑ NO IF YES: ❑ COUNTY ❑ CITY
IS PUBLIC WATER AVAILABLE: ❑ YES ❑ NO IF YES, WHICH WATER DIST/IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: ❑ YES ❑ NO
IS THE PROPERTY LOCATED WITHIN ASA: ❑ YES ❑ NO PSSA: ❑ YES ❑ NO
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CASH CHECK �j M75A
BAHKC4RD N,EXPIRES: V/NM
AUTHOR/ZED S/GHA 7URE.'
'FAXED PERMIT APPLICATIONS WILL 0NLY BE ACCEPTED WITH MAJOR BAN KCARD
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