2005, 06-03 Permit App: 05001938 Tearoff ReroofFROM : ALPINE CONSTRUCTION
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FAX NO. 5094465504 Jun. b.S :�eez) e7.40t'1I'1 f 1
PERM{T APPLICATION WORK SHEET•
SPOKANE VALLEY COMMUNITY DEVELOPMEN T
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phovse: 609 68&0036 Fax:(509)688-0037
REQUIREDYSI'TEWORMATION
STREET ADDRESS: l `5 o
ASSESSOR'S TAX PARCEL NUMSER(S): ,
LEGAL DISCRIPTION:
PERMIT DESCRIPTION: %'/t- 6��p ;, `: 7�a r --,-.•-
AWBUMI)ING PERMIT ❑ cuANGE -IN USE a GRADING 13NIANUFA CT U RED I I U,1 I::
[jRELOCAnON gSIGNN �TENANI ® OTffER
OWNER / APPLICANT INFORMATION
0 OWNER, D APPLICANT: ___.- ......
PHONE: ....._._.�
PHONE: FAX: -
FAX: _
ADORES5: ADDRESS: CITY, STATE, ZIP
�n CITY,STATE, xiP ^
0-CONTRACTOR+'� �� r GAS%/La) c s7�LJ �"� ARCHITECT: --
PHONE:8059 FAX: 7 cg's5
ADDRESS.y(IIS E 4 c eAw,+,A,—oA Si°J/ W� 99z Z3
CITY,.STATE,71P
PHONE: FAX:—
ADDRESS:
CITY, STATr=. Z[I'
WA ST CONTRACTOR LICENSE IIA' G P/N C.*- L"8184"12) CONTACT: ID lL� 3
PERMIT
COST OF PROJECT: V3 ZS f 30%SLOPES ON PROPERTY: MAIN FLOOR SO FT'.___..... _
BUILDING HEIGHT TO PEAK,.—
BUILDING
EAK:BUILDING DIMENSIONS:
'NUMBER OF STORIES:
NUMBER of BEDROOMS -
FLANKING SETBACK:
FRONT SETBACK•
REAR SETBACK:
LEFT SETBACK:
RIGHT SETBACK:
OCCUPANCY GROUP,
CONSTRUCTIONlYPE:
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
CURRENL PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE:
CURRENT WELL USE- -
IMPERVIOUS SURFACE AREA:,l._
2No FLOOR SQ
UNFIN BASEMENT:
FINISHED BASEMENT:
GARAGE'
COVERED DECK:_-. _.__•-- `
DECK:
JUN 03 2005 09:46 5094495504 PAGE.01