2003, 09-04 Permit App BLD-03-02389 Garage08/29/2003 15: 43 5053241567
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PERMIT APPLICATION WORK SHEET.
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707Heist Sprague Ave Ste 106
Spokane Valley, WA 89206...,
PhOna: (509)68B-0036 Faxg 508 6B8-o037
REQUIRED SITE INFORMATION
STREETADOFI>'lS ;, '2.07 `✓ C`or'�
ASSESSOR'S TAX PARCEL NUMBER(S): 2_ L 013
LEGAL DISCRIPTION:
FERMI DESCRIPTION:
IttD fa'r.P5s1.$A T • 7 C Noz iaz I NN ITSiE •' GRADING 13,MAIsIZTFACTLTRIED HOME
3RELOCITION • • arENM' T
EYFEEER • ' •
OWNER / APPLICANT INFORMATION
il®INNERS J IVYi B-)dr CIY ® APPLICANT:
PHONE:, ' 4Z g223FAX: PHONE:
ADORES& 220'7 Ni -ft OtC greeNkczr,� W*95W6ADDRESS:
CITY,STATE, ZIP
CONTRACTOR:
PHONE FAX:
ADDRESS:
Girt', STATE. ZIP
FAX:
ARCHIT&OT:
PHONE
ADDRESS;
CITY, STATE, ZIP
JFAX:
CITY, STATE, ZIP
WA ST CONTRACTOR LICENSECONTACT=
PERMIT/BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS:
NUMBER DF STORIES:
NUMBER of BEDROOMS:
FLANKING sETSAOK:
FRONT SETBACK:
REAR SETBACK -
LEFT SETBACK:
RIGHT SETBACK:
30%SLOPES ON PROPERTY_
OCCUPANCY GROUP:
CONSTRUCTION TYPE-
STRUCTURESON PROPERTY:
CRITICAL AREAS:
CURRENZ PROPERTY SIZE:
CURRENT PROPERTY USE:
CURRENT SEPTIC USE
CURRENT WELL USE:
IMPERVIOUS SURFACE AREA:I
MAIN FLOOR SO FT:
21iD FLOOR SQ FT
UNFIN BASEMENT: X
FINISHED BASEMENT:
GARAGE:
COV REo DECK:
DECK:
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** £8'306d 7W.01 **
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