2003, 10-07 Permit App: BLD-03-02706 Storage Bldg 10/06/03 12:00 V509 927 4062 SPO.STRUCTURES E1002/003
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SPolane
40,ValleY 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
L- ---- —REQUIRED SITE INFORMATION
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STREET ADDRESS: t5(00`g P. • i 4 - -L` S LIU/1iA qGtp31
ASSESSOR'S TAX PARCEL NUMBER(S)•�_ 4-S ?, _ r,3 '3
LEGAL DISCRIPTION;
PERMIT DESCRIPTION:
13(tILHING PERMIT 0-CHANGE IN USE 0 GRADING 0 MANUFACTURED HOME
URELOCATION EISIGN 0 TENANT DOTTIER
OWNER / APPLICANT INFORMATION
g OWNERS—1—Q-v ??!c✓L7 )(ltcAS APPLICANT: ppL--4401-Q- S4-YC-kr+Lj/tS� 'Tjt
PHONE; 9 2.1 - "I o (t FAX: PHONE: a1-, 105 5 FAX: 4 27" L o( 1 -
ADDRESS l 5C-POS - t 4 ADDRESS•, S L O ki 1/L,t,4 t Iti VZici •
CITY,STATE,ZIP SoK-&,L..Q_ CITY,STATE,ZIP
CONTRACTOR: et"Lt.get-a- GL, ARCHITECT.;
PHONE Ct a-' —06 SS FAX• PHONE: FAX;
ADDRESS: cit. ADDRESS:
CITY,STATE,ZIP �Q CITY,STATE,ZIP
WA ST CONTRACTOR LICENSE!! L. NTACT: 1'�.t> L e-•,A- I.S
PERMIT/BUILDING INFORMATION
COST OF PROJECT' 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT:
BUILDING HEIGHT TO PEAK: 1"i OCCUPANCY GROUP: 2ND FLOOR SQ FT:
BUILDING DIMENSIONS2YX0 K 10 CONSTRUCTION TYPE: UNFIN BASEMENT:
NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT:
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:
OCT 03 2003 13 07 509 927 4062 PAGE.02
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