2004, 04-27 Permit App: BLD-04-04210 Finish Basement ,7 1 - --k.
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PERMIT APPLICATION WORK SHEET 7�
SPOKANE VALLEY COMMUNITY DEVELOPMENT {` 4--1 IL-1 u
BUILDING DIVISION u
11707East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: 509 88-0036 FaK. 509 37
REQUIRED SITE INFORMATION
STREET ADDRESS: I,_5;3 / ( (, ' I!
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ASSESSOR'S TAX PARCEL Nt NBE,R(S): &L.
LEGAL DISCRIPTION: 'l., / � / C .
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GILDING PERMIT C!CHANGE IN USE 0 GRADING ACTORED HOME
O RELOCATION Q SIGN 0 TENANT [}OTHER
OWNER / APPLICANT INFORMATION t
0 OWNER: 0 APPUCANT:
PHONE: FAX: PHONE: FAX:
ADDRESS: ADDRESS:
CITY,ST E,ZIP CITY,STATE,ZIP
aCONTRACT• +iddrejL-41 i I , a ARCHITECT.:
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PHON /C. 11 gr. sr. 1J PHONE: FAX:
ADDRESS: /i IAit :4,_I I ADDRESS:
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$TtATE,ZIP CITY,STATE,ZIP
WA ST CONTRACTOR UCENSE* �, j/ fp CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT:
BUILDING HEIGHT TO PEAK: OCCUPANCY GROUP:. 2ND FLOOR SQ FT:
BUILDING DIMENSIONS: CONSTRUCTION TYPE: UNFIN BASEMENT: 6
NUMBER OF STORIES: STRUCTURES ON PROPERTY: FINISHED BASEMENT;/ i(.-
67
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: .