2003, 12-05 Permit App: BLD-03-03203 Roof CoverSii ane
.,, " Va11ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 1015 N HERALD RD
SPOKANE WA 99206-3979
Description: 42 X 60 ROOF COVER
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
NELSON, ERICK
EBCO CONSTRUCTION
1517 N LACEY ST
SPOKANE, WA 99207
EBCO CONSTRUCTION
1517 N LACEY ST
SPOKANE WA 99207
ACCESSORY BUILDING
Lot: Blk:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #: BLD -03-03203
Applied:
Issued:
Expires:
Parcel No: 45171.1017
Phone: (509) 535-0774
Phone: (509) 535-0774
Lic No: EBCOOC**066NQ
Zoning:
12/05/2003
12/05/2003
06/02/2004
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
40320
21
42 X 60
1
340
11
15
15
u-1
wood
2
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
552.85
4.50
557.35
0.00
557.35
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
THIS IS NOT A RECEIPT
City of Spokane Valley PHONE (509)688-0036
.1707 East Sprague Avenue, Suite 106
>pokane Valley, WA 99206
PERMIT #
BUILDING PERMIT APPLICATION
FAX # (509)688-0037
Box 1 OWNER /,'irk /VP/Sa..-. JOB LOCATION /0 /5 iV /�Pfc,ic../
OWNER'S ADDRESS /O / XAJ CITY be PHONE
rti/tel
DESCRIBE JOB
!tea/e /c4,
THIS PROPERTY IS OWNED BY: SINGLE/
PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME ,473 ('U PHONE 9'11 -
CONTRACTOR'S
1
CONTRACTOR'S ADDRESS P 0 /? a -( 7.2,2 e7
CONTRACTOR'S REG.#
CITY ,f� o.. c__.- 77.7 O
9) EXPIRATION DATE - -O '7
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECT e---/.3
(' (±
ADDRESS CIN
PHONE 2 / ICY -7
ZIP
BOX 5 ESTIMATED PROJECT COST $ 3 'C' EXISTING BLDG. VALUATION $
BOX 6 PROPERTY TAX ACCOUNT NUMBER •-/ $ / 7/_ C' / 7 Cr- / 7 -2 ' Z/ Z/ _L — L/ c/
LEGAL DESCRIPTION
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
3RD FLOOR / OTHER /
BASEMENT UNFINISHED / DECK
CARPORT / S% TOTAL /
1ST FLOOR / 2ND FLOOR /
BASEMENT FINISHED /
/ GARAGE /
HEIGHT TO PEAK OF BUILDING./
FT.
BOX 8 (- ) SINGLE FAMILY
( .) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
( -'NEW CONSTRUCTION
(._) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ. FT.
IMPERVIOUS SURFACE SQ. FT.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER / AGENTS
DATE //-) C3
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard
Print the name of the Holder
Expiration Date
Signature
APPROVED B