2013, 03-04 Permit App: BLD-2013-0334 Tear Off, ReroofResidential. Consrruction_Pcrmit_Appli cation.pdf
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Spokane
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hltp://www.spokancvalley.orefi Iesiorage/ 124!93 8/2101943; ;?. it Iles i
Community Development Dr.iJortrfient
Permit Center
11703 East Sprague Avenue, Suite 5-3
Spokane Valley, WA 992.06
Tel: (509) 688-0036
Fa<: (509) 6ee-0037
Lerm.i.tc,enterQappl_sn valley.oi
-Zoe
-93
PERMIT NUMnErt.:
IP ._
PEnMTT FEE: 110;75
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION jJ ADDITION/REMODEL El ACCESSORY BUILDING
E DECK
SITE ADDRESS: 1015iS Luck SYt SQGV_(Q g W Y `\ vL
ASSESSORS PARCEL NO.: L45tI'5, toOt.o LEGAL DESCRIPTION:
BUILDING OWNER NAME:
ED OTHER
NAME: Sta./. S(}LA v . ,� `
ADDREss: IUt Qj S VVu, l:15' ` ��I
ST iL `'t ZID: GT -�'-^-�Vp
FAx: CEI!.:
ciTr�S?oY oia...�_
PHONE: X121- -L13"1
CONTACT NAME: McVGLA_.1
2,„tIkA i / Ope Lat-IUlats
PHONE: gZYj-ty ?AD FAX: 92:6-15-I 0
CONTRACTOR NAME: Mc vC L , 1:3At( \AA -VS
MAILING nnonFsS: Iv'-t1D E 11/It on.10.(JYVN-R.)A-4
CELL
CITY: S?Oy_ )..w L STATE: WYE ZIp: 99 L3 p
PHONE: 92.x,--'-t.laQ,.l.o FAX: °ILPA-15`13 ceu_:
CONTRAOTORLIGENSE No.: 1_Lvpa IP1j9--LIIl WtCEXPIRES: GITY UUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
L . `D_....ScLS...._.....QP.. _.lro.o_Qtn,g.-riCc>_v- CEP: .......Mick ..GU .............__."Sin.-Q--1-._..-.._Lie ..1.2..p.lC.Yl
****YOU MUST COMPLETE THE FOLLOWING****
MARK N A IF NOTAPPLICABLE_____
t- Pear tal ---___ _..... _ ...
Freight to Peak: �iJimrnsi ons:No. of Stones_ Total Habitahl<�
Spare.:
Unfinished Basement SQ Finished Basr'rnrirrSQ
FT_ FT: .. ...... .
`
Impervious Slll'fare 300/n Slopes on
Area: — Property: _
Main Floor SQ FT: upper Floor SQ FT:
GaragT: - — e SQ FDeck/Covered Patio SQ
FT:
No. of Bedrooms:
Construction Type:
Heat Source: — Sewer or Septic: _
TOTAL COST OF PROJECT: $ y t "1 (63 , 2
DISCLAIMER
the permitted verlfles. acknowledges end agrees by their sgnature that; 1) If this permit Is for cor>svucticn or pn n dWellIno, the dw..IlIng lePell)
ht served by potable Ina ler. 2) Ownership of this.. City of sJokone trolley permit Inure to the property owner. 3) The 11T -tater? la the propane
owrL;f 01' boss permission CO represent the property owner In this Irensartlnn. 4) NI cortsnvctlap Is to he done In full compliance w'lth Ihe Cos '1
'Spokane \Jolley Development rode. Referenced codes are available fits review at the City of Spokane Valley Permit Center 51 7t at Cape pl
;•okarie Volley permit la not o permit or approval for any vlolalion or federal. state or local Taws, cone.st or ordinances. r) plans or 0 'Jil oorioi
Inrorri.MOr may be r0qulrtd to be s,a)mltted and subsequently approved before this applicaticr can be processed,
FfFFchlva Cid-ober 7. e, 7D07 PeloY! I cl
F'\Comm'Jrdty DevelYTmenP102 Administration 103 Forms Official Versions\Permit C?nter\Residerili71 Crmstrnstinn P•vn-
App 10.28.07.doc
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