2007, 02-07 Permit App: 07000363 Re-RoofProject Number: 07000363 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/07/2007 Page 1 of 2
Project Information:, mgLat.
Permit Use: RE -ROOF W/ 30 YR LAMINATE Contact: ELY'S ROOFING
Address: P.O. BOX 28397
C - S - Z: SPOKANE, WA 99228
Setbacks: Front Left: Right: Rear: Phone: (509) 467 -3700
Group Name:
Project Name:
Site Information:
Plat Key: CONV Name: MISSION RIDGE ADD District: Nort
Parcel Number: 45093.1605
Block: Lot:
SiteAddress: 10814 E AUGUSTA AVE
Location:: CSV
Zoning: UR -7
Water District:
Area: 11,500 Sq Ft
Urban Residential -7
Owner: Name: EVANS, DAVID D
Address: 5909 E 11ST AVE
SPOKANE, WA 99212
Hold: ❑
Width: 100 Depth: 114 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 20
Review Information:
Permits: rp,n
Contractor: ELY'S ROOFING & SIDING INC
Address: PO BOX 28397 Phone: (509) 467 -3700
SPOKANE, WA 99228
Building Permit
•
Firm: ELY'S ROOFING & SIDING INC
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1 &2 FAMILY R -3 VB RE -ROOF 0 $4,800.00 0 $4,800.00
Totals: 0 $4,800.00 0 $4,800.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $111.25
WSBC SURCHARGE 1 SELECT $4.50
Permit Total Fees: $115.75
Operator: MT Printed By: MT Print Date: 02/07/2007
Project Number: 07000363
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/07/2007
Notes: .. t .x, 1
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount
$115.75 $115.75
Amount Paid
$0.00
Amount Owing
$115.75
$115.75 $115.75
$0.00
$115.75
Page 2 of 2
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: MT Printed By: MT
Print Date: 02/07/2007
Permit Center
Spokane
11707 E Sprague Ave, Suite 106
.0..0 Valle Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688-0037
Community Development ww'w.spokanevalley.orQ.com
Reroof Construction
Permit Application
SITE ADDRESS
3
❑ Commercial
❑ Residential
/O (1 /05c/6 45ces7//9_
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building own_
Name: p a ��
Address:
//DNS
SSC E (ST
City: S 00 Zip: Uti
I Phone:
Fax:
44212
Name: EL y
Phone: G7 3-)c)c) 97/ 77 /y
Describe the scope of work in detail:
e daoi Lu( /zcck co/9. es
en/i -/4 - Rird9e � 1m
Cost of project
S
ontrart°
Name: /- 7r
Address: /c2 i t( 5,/,.??
Zip: ?',„)_.2
City: !O
Phone: 2 3 pcv Fax: 46 <///
Lic No: E/y 344. Date: ,37/ CO)
City Business Lic No: (4:0 I 77 Z r
❑ Tear off Et Overlay
0/ye 30 `
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a
dwelling, the dwelling is /will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the
property owner. 3) The signatory is the property owner or has permission to represent the property owner in this
transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code.
Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley
Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or
additional information may be required to be submitted, and subsequently approved before this application can be
processed.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Signature
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard [VISA ❑ Other
Bankcard #: Expires: VIN #:
Authorized Signature:
REVISED 8/23 /2005