2005, 10-05 Permit App: 05003641 Insert, Piping ;..., Quality Stoves 208-457-1138 p.1 �� I
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BUILDING PERMIT APPLICATION WORKSHEET
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anCity of Spokane Valley Community Development Department
n Building Division
11707 E. Sprague Avenue, Suite 106
'�ic]�le Spokane Valley, WA 99206
till ll�1 Phone_ (509) 688-0036;Fax: (509) 688-0037
REQUIRED SITE INFORMATION 1
Street Address: 10104 E 44th Ave
Assessor's Tax Parcel Number(s):
Legal Description: •
PERMIT DESCRIPTION: Install gas piping and natural gas fireplace insert
Building Permit Change in Use Grading Manufactured Home
Relocation Tenant Improvement Fire Safety Other
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. -__ . OWNER/APPLICANT INFORMATION
Owner: Pat Thompson Applicant:
Phone: 921-1798 Fax: Phone: Fax:
Address: 10104 E 44th Ave Address:
City: Spokane Valley State: Zip: City: State:
Zip:
Contractor: Quality Stoves and Home Furnishings
Architect:
Phone: 208-457-8868 Fax: 208-457-1138 Phone:
Fax:
Address: 1611 E Edmonton Address:
City: Post Falls State: ID Zip: 83854 City: State:
Zip:
WA State Contractor License #: L0436906 Contact: Robb or Jeff
_ -
PERMIT/BUILDING INFORMATION
- -HEIGHT TO PEAK: . DIMENSIONS: - #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE:
OCT 84 2885 15:83 209 457 1138 PAGE.01