2007, 04-03 Permit App: 07001068 ReroofJ
APR -2-2007 07:57A FROMPERRENOUD ROOFING IN
Spot aria 11707 E Sprague Ave, Suite 106
Valley Spokane Valley, WA 99206
V-cl (309)688-0036 FAX: (509)688-0037
Community Dwtlop=ent www-st'okanevalkY.Lorg.com
Residential Construction
Permit Application
TO:6880037
P: 1'1
PERMIT NUMBER:
PERMIT FEE:
o New Construction
o Addition/Remodel
o Other:
o Accessory Bldg
o Deck
SITE ADDRESS 1 \ S
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building owner
.
Name: Per rano
Name:
C—
71 7 L ,
Address:
zip: 9gtO7
phone: 44 ci3 -- 7100
City:
zip
Fax:
Phone:
Contact Person
Name:
i phone:
Describe the scop of work in de
.a. -
Contractor... . .,
.
Name: Per rano
R odi` n Tn
Address: T.Q. 4, O),
71 7 L ,
city. ,Spo Kang
zip: 9gtO7
phone: 44 ci3 -- 7100
Fax Lig.? -- .7I06
Lie NoPerrCrl 1{.+{21
Exp. Date: b— 23 - D 7
- City Business Lic No:
,
Cost of Project:
tier
******************t*****************
Tole fo �JS� be complete: (write N/A if not applicable}
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2 FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SO. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
DISCLAIMER
The permitee verifies, acknowledges and agrees by their signature that t) 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 Pom It Center. 5) Thin City of,Sookne Valley Permit is not a permit or approval for any violation of federal. state or
10031 !..740S. Wei -SI or ordinances. 6) Pians or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Metho
❑ Ca
Bankcard
Date
be accepted with major bankcerd)
astercard ❑ VISA
Expires: VIN#:
Authorized Signature:
Reviseo &25QooS
0 Other
APR 02 2007 07:59
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