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2004, 09-07 Permit App BLD-04-07573 Demo Residence
osiesso„ SW'lane Valley BUILDING PERMIT APPLICATION WORKSHEET City of Spokane Valley Community Deveefopment Department Building Division 11707 E. Sprague Avenue, Suite 106 • Spokane Valley, WA 99206 Phone: (509) 688=0036; Fax: (509) 688-0037 REQUIRED SITE INFORMATION ° • Street Address: (#C 3 t= C tr t Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION: 7- NtC' d 5 L { C9J S E Building Permit ❑ in Use Change E] Relocation g E Grading ❑Manufactured Home ❑ Tenant Improvement ❑ Fire Safety E Other OWNER/APPLICANT INFORMATION ❑ Owner: PL UL . nit-Df'L_ ❑ Applicant: Phone: k'/Z -I 3 I Fax: • Phone: Fax: Address: SD Z, Ni =Z K}A -1:71 / - Address: Sp,' paicc, VA LU 'l wA ' g90i city • State Zip Code City State Zip Code 0 Contractor. •❑ Architect: Phone: • Fax: Phone: Fax: Address: Address: City State Zip Code City • State Zip Code • WA State Contractor License#: Contact: - PERMIT/BUILDING INFORMATION . HEIGHT TO PEAK DIMENSIONS: # OF STORIES: MAIN. FLOOR TO SQ: FTG: Zr'FLOOR SQ: FTG: {INFIN BASEMENT SO. FTG: FINISHED BASEMENT SQ. FTG; GARAGE SQ: FTG: DECKICOV. PATIO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA: COST OF PROJECT: ' 30% SLOPES ON PROPERTY; SEWER OR ON -SITE SEPTIC SYSTEM? aa4;0 El :#NIA .:sauldxg VSIA ❑ p.eoie;seij :nun;eu61s pazlao4;ny :# piepNuea >10940 . ❑ 45e3 ❑ (prnjuequolew yjM pe;deoge egifjuo }fine suopeo1}dde jjwaad paxed) ;;uewifedato poy;ayp am}su61$ aweN;uud raumo 1pedoid ay; o; emul;IwJed panss! Aue lq pe%uei6 s;g69.;uewdolanep 6ul;insai.}o d1gsJeuMo seoueulpio uo sapoo 'sMel pool 10 a;e;s 'leJapa; 4o uogeloln Aue Jo} lenwdde Jo;luued e;ou El Piled lalleh aue)lodg;;o !}10 slq j. (g u9;11901.!WJed laden aue)lodS 40 40 ail};S MMIA9J Jo; ejgeilene e i sapoo peoueiela-_ epo0;uewdolenad lepers euejods;o Apo ay; tgIM eoueljdwoo pin} ul euop eq o; sl uolp3ru;suoo ily (y -uol;3esue4 sly; ul ieumo Apadoid et.);;ueseidei o; uolssluuad selpo JeuMo A ledad ay; sl AJo;eu6ls eq j (e •Jeumo Apedoid ay; t amul;iwied llape%aue)lods;o A.110 sly; dlysnaump (z : is;EM a qe;od Aq penes aq plM/sl Sunlamp eq; '6ul Temp e uo Jo;0 uogoru;suooio} sl }tuned sty; ;i ({. :}et; am;eu6ls play; lq seeJ6e pue sa6pa)Mouoloe 'seupen ee;Iwiad aqj :xs j ONIa13M- ❑ :auoyd 1N3W302:1OdNl32i ❑ 213W1V13Sla :(s)uo;oadsul :eweN uwn j 3132i0NO0 ❑ ON11102 n SNO1103dSNI wipadS drz • aletS drz awls :xej :auoyd :xej. :auo4d -sseiPPy ao;oadsul :ssappy :uau!WEx3 sueid aaoo A0213N3 1b91N3Q1S31:1-NON 31`d1S NOJ.ON11-ISA1A :ezlg duel a6Euo}g punou6uapu fl,anogy :y;oog Tined • :6ugse1s :AEjds!Q s)luomauld :wuely aul j :spee w # :uol}sn1EA • :}ual :ualNupdg Gild • A133VS 32113 • :esn pesodoud :ssaippy snolneud . • NOLIV0013a • :}eg :]Ekk :4;6pa1 :uaunpEJnuen :44PIM 3wom a3an10VdnNVW