2004, 09-10 Permit App: BLD-04-07620 Tear Off, Reroof FROM : ALPINE CONSTRUCTION FAX NO. : 5094485504 Sep. 02 2004 04:46PM 'P1
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,,,Valley PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIV/S/ON
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206. .
Phone: 509 688-0036 Fax: 509 688-0037
7
REQUIRED SITE INFORMATION
STREET ADDRESS:
1/ 302 6s- /2, -
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL INSCRIPTION:
•
PERMIT DESCRIPTION: TC71-A• OAF0`'f
,Efi3V .])DTG•PEI T • CUCHANGE IN USE aGRADING .CIMANUFACTURED HOME
CIRELQCATION . aSIGN . OTENANT a MEER1 . Ifiaziamossiase2
••
OWNER / APPLICANT INFORMATION
CI OWNER: •
® APPLICANT:
FAX: PHONE: FAX
PHONE: •
ADDRESS- ADDRESS:CITY,STATE,ZIP • CITY,STATE,ZIP
•
CONTRACTOR:A LP ii,J e" Gems S i it.J cr i J 0 0 ARCHITECT:
PHONE: tie• 5°11 .FAX y-ki u S'S/34 PHONE: FAX:
ADDRESS:4 9 cI -t-NNA 12 F Da SP 19 ZZ3ADDREss; CITY,STATE,ZIP
CITY.STATE,ZIP ^�
WA ST CONTRACTOR LICENSE*ALP',Alt-4e 0$E1 MA) CONTACT: w kt i`3 5
PERMIT/BUILDING INFORMATION
LiEssiiii=r, ....06-.1
COST OF PROJECT: 7;1-1 S. ' 30%SLOPES ON PROPERTY:, MAIN FLOOR SQ FT:___._
BUILDING HEIGHT TO PEAK: QCCUPANCY GROUP:
2N0 FLOOR SQ FT:_
BUILDING DIMENSIONS: CONSTRUCTION TYPE: UNFIN BASEMENT:_____
•NUMBER OF STORIES: STRUCTURES ON PROPERTY:
FINISHED EASEMENT:,
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:
SEP 02 2004 16:43 5094485504 PAGE.01